{
"Npi": {
"NPI": "1558275891",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "JOHNS HOPKINS ALL CHILDREN'S HOSPITAL, INC.",
"ParentOrgTIN": null,
"OrgName": "JOHNS HOPKINS ALL CHILDREN'S HOSPITAL, INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3850 TAMPA RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PALM HARBOR",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34684-3670",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "727-786-5482",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3850 TAMPA RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PALM HARBOR",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "34684-3670",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "727-786-5482",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/02/2026",
"LastUpdateDate": "10/02/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KINSLER",
"AuthorizedOfficialFirstName": "KELLY",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PROVIDER ENROLLMENT SUPERVISOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "727-767-3407",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "2080P0202X",
"TaxonomyName": "Pediatric Cardiology Physician",
"LicenseNumber": null,
"LicenseNumberStateCode": "NULL",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "2080P0205X",
"TaxonomyName": "Pediatric Endocrinology Physician",
"LicenseNumber": null,
"LicenseNumberStateCode": "NULL",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "2080P0206X",
"TaxonomyName": "Pediatric Gastroenterology Physician",
"LicenseNumber": null,
"LicenseNumberStateCode": "NULL",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "2084N0402X",
"TaxonomyName": "Neurology with Special Qualifications in Child Neurology Physician",
"LicenseNumber": null,
"LicenseNumberStateCode": "NULL",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "2086S0120X",
"TaxonomyName": "Pediatric Surgery Physician",
"LicenseNumber": null,
"LicenseNumberStateCode": "NULL",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "170300000X",
"TaxonomyName": "Genetic Counselor (M.S.)",
"LicenseNumber": null,
"LicenseNumberStateCode": "NULL",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}