Individual provider Active NPI

German Andres Hall II, M.S, ATC, LAT, PES

  • Athletic Trainer
  • Saint Petersburg, FL
National Provider Identifier
1508238197
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AL3276 Issued in FL
Practice address
4200 54TH Ave S
Saint Petersburg, FL 33711-4744
Phone
(240) 427-7600
NPI assigned
Oct 22, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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 AL3276 FL Primary

Addresses

Primary practice location

4200 54TH Ave S
Saint Petersburg, FL 33711-4744

Mailing address

9951 12TH Way N
12-113
Saint Petersburg, FL 33716-5064
Phone (240) 427-7600

Other identifiers 1

IdentifierTypeStateIssuer
2255A2300XOtherFLINDIVIDUAL

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
AL3276FLMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445472000000",
    "number": "1508238197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9951 12TH WAY N",
            "address_2": "12-113",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337165064",
            "telephone_number": "240-427-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 54TH AVE S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337114744",
            "telephone_number": "240-427-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "GERMAN",
        "middle_name": "ANDRES",
        "name_suffix": "II",
        "credential": "M.S, ATC, LAT, PES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL3276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL",
            "identifier": "2255A2300X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.