Active NPI
K&H Healthkare
- Developmental - Behavioral Pediatrics Physician
- Bradenton, FL
National Provider Identifier
1376700278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- License
- ME0054430
- Legal business name
- K&H HEALTHKARE
- Practice address
- 408 Manatee Ave E
Bradenton, FL 34208-1135 - Phone
- (941) 922-5366
- Fax
- (941) 894-3487
- NPI assigned
- May 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Helene R Hubbard, PHD, MD
- Title
- Owner
- Phone
- (941) 922-5366
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | ME0054430 | FL | Primary |
Addresses
Primary practice location
408 Manatee Ave E
Bradenton, FL 34208-1135
Mailing address
408 Manatee Ave E
Bradenton, FL 34208-1135
Phone (941) 922-5366
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 250144900 | Medicaid | FL | |
| 31351 | Other | FL | BCBS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211155200000",
"number": "1376700278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 MANATEE AVE E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342081135",
"telephone_number": "941-922-5366",
"fax_number": "941-894-3487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 MANATEE AVE E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342081135",
"telephone_number": "941-922-5366",
"fax_number": "941-894-3487"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "K&H HEALTHKARE",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-19",
"last_updated": "2008-05-19",
"status": "A",
"authorized_official_last_name": "HUBBARD",
"authorized_official_first_name": "HELENE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "941-922-5366",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD, MD"
},
"taxonomies": [
{
"code": "2080P0006X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "FL",
"license": "ME0054430",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "250144900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "31351",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.