{
"Npi": {
"NPI": "1881437309",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "TREMMEL",
"FirstName": "KRISTEN",
"MiddleName": "REBECCA BADER",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "LCSW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "BADER",
"OtherFirstName": "KRISTEN",
"OtherMiddleName": "REBECCA",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "RCSWI, ISW15978",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "1015 SIKES BLVD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LAKELAND",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33815-4499",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "407-624-0442",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3125 BRUTON BLVD STE A",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ORLANDO",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32805-6608",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "407-801-3837",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/13/2024",
"LastUpdateDate": "06/10/2025",
"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": "104100000X",
"TaxonomyName": "Social Worker",
"LicenseNumber": "LCSW23426",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}