Derrick Michael Kugel

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

K240173944220 Issued in FL

Practice address

15004 Turtle Lake CT
Lutz, FL 33559-7728

Phone

(813) 728-4276

NPI assigned

Apr 21, 2017

Last updated

Apr 21, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1619402187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15004 TURTLE LAKE CT",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335597728",
            "telephone_number": "813-728-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15004 TURTLE LAKE CT",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335597728",
            "telephone_number": "813-728-4276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUGEL",
        "first_name": "DERRICK",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-21",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "K240173944220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nanda Kishor Kommineni
• Averi Laine Kosloske
• Sophia Nikolay Kosturova
• Vivian Nia Koufogazos, PA-C
• Ryan Krupnick
• Andrew Jacob Kuntz
• Valerie Reeves Kurek, A.P.
• Sugabramya Kuru, MD
• Frederick John Kurz, RPH
• Sergiy Kushchayev, MD PHD

• Behavior Technician in Lutz, FL
• Providers in Lutz, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.