Kathleen Ann Segall, MA, LMT

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

MA0028278 Issued in FL

Practice address

5025 9TH Ave N
St Petersburg, FL 33710-6606

Phone

(727) 515-5358

Fax

(727) 865-6540

NPI assigned

Nov 6, 2008

Last updated

Nov 6, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225929600000",
    "number": "1033363817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 PINELLAS BAYWAY S APT 404",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337151999",
            "telephone_number": "727-515-5358",
            "fax_number": "727-865-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 9TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337106606",
            "telephone_number": "727-515-5358",
            "fax_number": "727-865-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGALL",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MA, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "FL",
            "license": "MA0028278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "C8824",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harold B Seder, MD
• Nicole Bernadette See, ARNP
• Seeko
• Seets Surgical Assistant, LLC
• Howard Segal, LMT
• Alexis N Segin, FNP-BC
• Nicole Segovia
• Ana R Segura, MD
• Stacy Susan Seigel
• Danielle Julianne Seipel, MA, BCBA

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; 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.