Healthcare Provider Details

I. General information

NPI: 1588405799
Provider Name (Legal Business Name): CATHERINE HOFF RN, HEALTH COACH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2024
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6045 WINDSOR DR
FAIRWAY KS
66205-3348
US

IV. Provider business mailing address

12115 E 21ST ST N STE 107
WICHITA KS
67206-3571
US

V. Phone/Fax

Practice location:
  • Phone: 206-856-7597
  • Fax:
Mailing address:
  • Phone: 316-440-7000
  • Fax: 316-440-7006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number53-85749-012
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number14-159505-012
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: