Individual provider Active NPI

Emily J Hoffman, MS, CCLS

  • Specialist
  • Beloit, WI
National Provider Identifier
1205424710
Registry record updated Jan 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
1348 Moore St
Beloit, WI 53511-4143
Phone
(262) 844-8049
Fax
(608) 207-9802
NPI assigned
Jan 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

1348 Moore St
Beloit, WI 53511-4143

Mailing address

PO Box 164
Beloit, WI 53512-0164
Phone (262) 844-8049

Other names 1

  • Emily J Steen Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://emily-hoffman.clientsecure.me/ Other

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
Credentials
Master of Science

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610236800000",
    "number": "1205424710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 164",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535120164",
            "telephone_number": "262-844-8049",
            "fax_number": "608-207-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 MOORE ST",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535114143",
            "telephone_number": "262-844-8049",
            "fax_number": "608-207-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "EMILY",
        "middle_name": "J",
        "credential": "MS, CCLS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-10",
        "last_updated": "2021-01-10",
        "certification_date": "2021-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://emily-hoffman.clientsecure.me/",
            "affiliation": "N",
            "endpointDescription": "Simple Practice Account",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Both Direct and HIE",
            "address_1": "1348 Moore St",
            "city": "Beloit",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535114143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "STEEN",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beloit, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.