NPI Code Detail JSON Logo

1689474884 NPI number — KEVIN HOFFMAN

NPI Number: 1689474884
Health Care Provider/Practitioner: KEVIN HOFFMAN

Information about “1689474884” NPI (KEVIN HOFFMAN) exists in 1689474884 in HTML format HTML  |  1689474884 in plain Text format TXT  |  1689474884 in PDF (Portable Document Format) PDF  |  1689474884 in an XML format XML  formats.

NPI Number : 1689474884 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689474884",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HOFFMAN",
    "FirstName": "KEVIN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "14388 VISTA DEL LAGO BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WINTER GARDEN",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34787-9388",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "585-369-6046",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "12315 LAKE UNDERHILL RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ORLANDO",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32828-4507",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "321-972-4039",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/17/2025",
    "LastUpdateDate": "03/17/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "106S00000X",
        "TaxonomyName": "Behavior Technician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.