Active NPI
Douglas Hoskins
- Foster Care Agency
- Prescott Valley, AZ
National Provider Identifier
1417433376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foster Care Agency
- License
- 222697
- Practice address
- 5260 N Western Blvd
Prescott Valley, AZ 86314-4251 - Phone
- (252) 292-0285
- NPI assigned
- Jul 13, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foster Care Agency | 253J00000X | 222697 | AZ | Primary |
| Child Mental Illness Respite Care | 385HR2055X | 222697 | AZ |
Addresses
Primary practice location
5260 N Western Blvd
Prescott Valley, AZ 86314-4251
Mailing address
5260 N Western Blvd
Prescott Valley, AZ 86314-4251
Phone (252) 292-0285
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 222697 | AZ | MD | Child Mental Illness Respite Care |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683244800000",
"number": "1417433376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5260 N WESTERN BLVD",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863144251",
"telephone_number": "252-292-0285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5260 N WESTERN BLVD",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863144251",
"telephone_number": "252-292-0285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOSKINS",
"first_name": "DOUGLAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-13",
"last_updated": "2023-05-05",
"certification_date": "2023-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": "AZ",
"license": "222697",
"primary": true
},
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": "AZ",
"license": "222697",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.