Individual provider Active NPI

Zoltan Hepp

  • Athletic Trainer
  • Saint Augustine, FL
National Provider Identifier
1417616939
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
5419 1St St
Saint Augustine, FL 32080-7347
Phone
(239) 601-5714
NPI assigned
Dec 12, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Primary

Addresses

Primary practice location

5419 1St St
Saint Augustine, FL 32080-7347

Mailing address

4547 28TH PL SW
Naples, FL 34116-7839
Phone (239) 601-5714

Other practice location 1

210 Davis Park Rd
Ponte Vedra Beach, FL 32081
Phone (239) 601-5714

Other practice location 2

2850 Hodges Blvd
Jacksonville, FL 32224-1250
Phone (239) 601-5714

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

NPI Registry JSON

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

{
    "created_epoch": "1639267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1417616939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4547 28TH PL SW",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341167839",
            "telephone_number": "239-601-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5419 1ST ST",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320807347",
            "telephone_number": "239-601-5714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Davis Park Rd",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra Beach",
            "state": "FL",
            "postal_code": "32081",
            "country_code": "US",
            "telephone_number": "239-601-5714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2850 Hodges Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322241250",
            "country_code": "US",
            "telephone_number": "239-601-5714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEPP",
        "first_name": "ZOLTAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-12",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.