Organization Active NPI

K&H Healthkare

  • Developmental - Behavioral Pediatrics Physician
  • Bradenton, FL
National Provider Identifier
1376700278
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
ME0054430 Issued in FL
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

Updated by the provider on May 19, 2008

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)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
250144900MedicaidFL
31351OtherFLBCBS

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.