Active NPI
Sandra Kennedy Hogan, LPN
- Licensed Practical Nurse
- Naples, FL
National Provider Identifier
1003311739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN411991
- Practice address
- 599 Tamiami TRL N
Naples, FL 34102-5623 - Phone
- (239) 732-1133
- Fax
- (239) 732-1145
- NPI assigned
- Mar 26, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN411991 | FL | Primary |
Addresses
Primary practice location
599 Tamiami TRL N
Naples, FL 34102-5623
Mailing address
599 Tamiami TRL N
Naples, FL 34102-5623
Phone (239) 732-1133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PN411991 | Other | FL | STATE LISCENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN411991 | FL | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522022400000",
"number": "1003311739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "599 TAMIAMI TRL N",
"city": "NAPLES",
"state": "FL",
"postal_code": "341025623",
"telephone_number": "239-732-1133",
"fax_number": "239-732-1145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "599 TAMIAMI TRL N",
"city": "NAPLES",
"state": "FL",
"postal_code": "341025623",
"telephone_number": "239-732-1133",
"fax_number": "239-732-1145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGAN",
"first_name": "SANDRA",
"middle_name": "KENNEDY",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-26",
"last_updated": "2018-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "FL",
"license": "PN411991",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LISCENSE",
"identifier": "PN411991",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.