Active NPI
Hae Jin Hong, FNP-C
- Family Health Clinical Nurse Specialist
- Tampa, FL
National Provider Identifier
1265971220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Health Clinical Nurse Specialist
- License
- ARNP9294597
- Practice address
- 2137 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6511 - Phone
- (813) 872-9384
- Fax
- (813) 872-7637
- NPI assigned
- Feb 22, 2017
- 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 |
|---|---|---|---|---|
| Family Health Clinical Nurse Specialist | 364SF0001X | ARNP9294597 | FL | Primary |
Addresses
Primary practice location
2137 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6511
Mailing address
14690 Spring Hill Dr
Suite 100 Attn:Credentialing
Spring Hill, FL 34609-8102
Phone (352) 799-0046
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020724600 | Medicaid | FL |
Other names 1
- Christina Hong
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9294597 | FL | MD | Family Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1265971220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14690 SPRING HILL DR",
"address_2": "SUITE 100 ATTN:CREDENTIALING",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346098102",
"telephone_number": "352-799-0046",
"fax_number": "352-606-2857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2137 W DR MARTIN LUTHER KING JR BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076511",
"telephone_number": "813-872-9384",
"fax_number": "813-872-7637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONG",
"first_name": "HAE JIN",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-22",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "364SF0001X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Family Health",
"state": "FL",
"license": "ARNP9294597",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020724600",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINA",
"last_name": "HONG",
"credential": "FNP-C",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.