Individual provider Active NPI

Athena Sophia Hoppe

  • Student in an Organized Health Care Education/Training Program
  • Vancouver, WA
National Provider Identifier
1265004329
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
Elson S. Floyd College of Medicine
14204 NE Salmon Creek Ave, Vlib 210
Vancouver, WA 98683-9868
Phone
(360) 346-3014
NPI assigned
Jul 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

Elson S. Floyd College of Medicine
14204 NE Salmon Creek Ave, Vlib 210
Vancouver, WA 98683-9868

Mailing address

1400 Chilton Rd
Aberdeen, WA 98520-1206
Phone (360) 346-3014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230629002625 LA Order and Referring Only - General SurgeryPractitioner - General Surgery 1759740376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: ahoppe5241946@direct.casso.us.com

NPI Registry JSON

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1265004329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 CHILTON RD",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985201206",
            "telephone_number": "360-346-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ELSON S. FLOYD COLLEGE OF MEDICINE",
            "address_2": "14204 NE SALMON CREEK AVE, VLIB 210",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839868",
            "telephone_number": "360-346-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPPE",
        "first_name": "ATHENA",
        "middle_name": "SOPHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.