NPI Code Detail JSON Logo

1184115925 NPI number — KATLYN MARIE HOSTETLER PA-C

NPI Number: 1184115925
Health Care Provider/Practitioner: KATLYN MARIE HOSTETLER PA-C

Information about “1184115925” NPI (KATLYN MARIE HOSTETLER PA-C) exists in 1184115925 in HTML format HTML  |  1184115925 in plain Text format TXT  |  1184115925 in PDF (Portable Document Format) PDF  |  1184115925 in an XML format XML  formats.

NPI Number : 1184115925 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1184115925",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HOSTETLER",
    "FirstName": "KATLYN",
    "MiddleName": "MARIE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PUSKAR",
    "OtherFirstName": "KATLYN",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PA-C",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "247 MOREWOOD AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PITTSBURGH",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "15213-1861",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "412-622-0290",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "314 S KIMBERLY AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SOMERSET",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "15501-2223",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "814-443-8266",
    "PracticeLocationAddressFaxNumber": "814-443-8261",
    "EnumerationDate": "05/29/2018",
    "LastUpdateDate": "12/02/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363AM0700X",
        "TaxonomyName": "Medical Physician Assistant",
        "LicenseNumber": "MA059820",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2025 Data Labs Health. All rights reserved.