Beaches Confident Kids LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

BEACHES CONFIDENT KIDS LLC

Practice address

1157 Beach Blvd
Jacksonville Beach, FL 32250-3445

Phone

(904) 325-7560

Fax

(904) 490-9034

NPI assigned

Aug 23, 2022

Organization subpart

No

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

Authorized official

Name

Kristi Hinckley, OTR/LNPI 1851756712

Title

Owner

Phone

(904) 566-1287

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristi Nicole Hinckley, OTR

  • Occupational Therapist
  • Jacksonville Beach, FL
  • NPI 1851756712
  NPD Authorized official

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1891414843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 BEACH BLVD",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503445",
            "telephone_number": "904-325-7560",
            "fax_number": "904-490-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 BEACH BLVD",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503445",
            "telephone_number": "904-325-7560",
            "fax_number": "904-490-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACHES CONFIDENT KIDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "HINCKLEY",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-566-1287",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Smith Bauer, MSW
• Mark Henry Baughman, PT ATC
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• Beaches Behavioral Medicine (Beaches Laser Spine and Pain Medicine)
• Beaches Counseling & Therapy
• Beaches Ear Nose & Throat
• Beaches Ear, Nose and Throat, PA
• Beaches Eye Center, PA
• Beaches Facial and Nasal Surgery Center

• Pediatric Occupational Therapist in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Pediatric Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.