Active NPI
Tammy Kelz, MA34584
- Specialist
- Sarasota, FL
National Provider Identifier
1043642242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA 34584
- Practice address
- 810 Central Ave
Sarasota, FL 34236 - Phone
- (941) 753-7766
- NPI assigned
- Jul 30, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA 34584 | FL | Primary |
Addresses
Primary practice location
810 Central Ave
Sarasota, FL 34236
Mailing address
PO Box 11222
Bradenton, FL 34282
Phone (941) 753-7766
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 34584 | FL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375142400000",
"number": "1043642242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11222",
"city": "BRADENTON",
"state": "FL",
"postal_code": "34282",
"telephone_number": "941-753-7766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 CENTRAL AVE",
"city": "SARASOTA",
"state": "FL",
"postal_code": "34236",
"telephone_number": "941-753-7766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELZ",
"first_name": "TAMMY",
"name_prefix": "Miss",
"credential": "MA34584",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-30",
"last_updated": "2013-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "MA 34584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.