Active NPI
Killa Styles by Kay
- Customized Equipment (DME)
- Sacramento, CA
National Provider Identifier
1063117844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.