Organization Active NPI

Killa Styles by Kay

  • Customized Equipment (DME)
  • Sacramento, CA
National Provider Identifier
1063117844
Registry record updated Apr 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
KILLA STYLES BY KAY
Practice address
1440 Ethan Way Ste 34
Sacramento, CA 95825-2225
Phone
(916) 513-8971
NPI assigned
Apr 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2023

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

Authorized official

Name
Kiosha Smith, LVN
Title
Owner
Phone
(916) 513-8971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

1440 Ethan Way Ste 34
Sacramento, CA 95825-2225

Mailing address

1440 Ethan Way Ste 43
Sacramento, CA 95825-2225
Phone (916) 513-8971

Other practice location 1

8760 Center Pkwy # F134
Elk Grove, CA 95758-8438
Phone (209) 507-5958

National Provider Directory

National Provider Directory

Locations

1440 Ethan Way
Ste 43
Sacramento, CA 95825

1440 Ethan Way
Ste 34
Sacramento, CA 95825
Phone (916) 513-8971

NPI Registry JSON

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680998400000",
    "number": "1063117844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 ETHAN WAY STE 43",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252225",
            "telephone_number": "916-513-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 ETHAN WAY STE 34",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252225",
            "telephone_number": "916-513-8971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8760 Center Pkwy # F134",
            "address_purpose": "LOCATION",
            "city": "Elk Grove",
            "state": "CA",
            "postal_code": "957588438",
            "country_code": "US",
            "telephone_number": "209-507-5958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KILLA STYLES BY KAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-09",
        "certification_date": "2023-04-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KIOSHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-513-8971",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2023; 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.