Andrea Gisela Hoffman, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

702556-1 Issued in NY

Practice address

70 Robert Frost Way
Peru, NY 12972-4569

Phone

(518) 578-6008

NPI assigned

Sep 23, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1629447339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 ROBERT FROST WAY",
            "city": "PERU",
            "state": "NY",
            "postal_code": "129724569",
            "telephone_number": "518-643-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 ROBERT FROST WAY",
            "city": "PERU",
            "state": "NY",
            "postal_code": "129724569",
            "telephone_number": "518-578-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "ANDREA",
        "middle_name": "GISELA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "702556-1",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VT",
            "license": "026.0115747",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Elizabeth Ford, P.T.
• Harley Gainer
• Sandra Marie Harris, NP
• Jocelyn Anne Hart, REGISTERED NURSE
• Robin Marie Hinson, P.A.
• Richard Jensen
• Euclid Howard Jones, MD
• Jennifer Kanaly
• KPH Healthcare Services, Inc.
• Lakeshore Pediatric Dentistry PLLC

• All providers in Peru, NY
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.