Hidden Potentials Inc.

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

HIDDEN POTENTIALS INC.

Practice address

5650 S Washington Ave
Titusville, FL 32780-7312

Phone

(321) 267-6318

Fax

(321) 267-1194

NPI assigned

May 6, 2009

Last updated

May 6, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kathy Clinton

Title

Executive Director

Phone

(321) 267-6318

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1649404567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5650 S WASHINGTON AVE",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327807312",
            "telephone_number": "321-267-6318",
            "fax_number": "321-267-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 S WASHINGTON AVE",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327807312",
            "telephone_number": "321-267-6318",
            "fax_number": "321-267-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDDEN POTENTIALS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "CLINTON",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "321-267-6318",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "960146896",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard D. Herman, PH.D.
• Angel Len Herndon
• Stephanie Diana Hertz, MSN, APRN, FNP-C
• Kristine C Hertzog, PA
• Melinda Miller Heyne
• Sheree Hill, MSW, LCSW
• Dawn Michele Hillebrandt, ARNP
• Karlisia Hinton
• Lan Hoang
• Long N. Hoang, DMD

• Personal Care Attendant in Titusville, FL
• Providers in Titusville, FL by specialty
• Personal Care Attendant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.