Active NPI
Kenta Hosokawa, MAT, LAT, ATC
- Athletic Trainer
- Jefferson, LA
National Provider Identifier
1073264511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 329654
- Practice address
- 1201 S Clearview Pkwy BLDG B
Jefferson, LA 70121-1015 - Phone
- (504) 596-1876
- NPI assigned
- Jan 17, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 329654 | LA | Primary |
Addresses
Primary practice location
1201 S Clearview Pkwy BLDG B
Jefferson, LA 70121-1015
Mailing address
5855 Citrus Blvd Apt 314
Harahan, LA 70123-5804
Phone (504) 596-1876
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 |
|---|---|---|---|
| 329654 | LA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642377600000",
"number": "1073264511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5855 CITRUS BLVD APT 314",
"city": "HARAHAN",
"state": "LA",
"postal_code": "701235804",
"telephone_number": "504-596-1876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 S CLEARVIEW PKWY BLDG B",
"city": "JEFFERSON",
"state": "LA",
"postal_code": "701211015",
"telephone_number": "504-596-1876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOSOKAWA",
"first_name": "KENTA",
"credential": "MAT, LAT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-17",
"last_updated": "2022-01-17",
"certification_date": "2022-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "LA",
"license": "329654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jefferson, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.