Kelly Sutton, L.M.T.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA52881 Issued in FL

Practice address

4325 Highland Park Blvd
Lakeland, FL 33813-1671

Phone

(863) 669-7363

Fax

(863) 647-1793

NPI assigned

Jul 4, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Charles Vickers DC PA

  • Chiropractor
  • Lakeland, FL
  • NPI 1245241553
  NPD (past)

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

{
    "created_epoch": "1278201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278201600000",
    "number": "1073825220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 WHITEWOOD RD",
            "city": "MULBERRY",
            "state": "FL",
            "postal_code": "338605508",
            "telephone_number": "863-669-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 HIGHLAND PARK BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131671",
            "telephone_number": "863-669-7363",
            "fax_number": "863-647-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "KELLY",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-04",
        "last_updated": "2010-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "MA52881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Surgical Center of Central Florida, LLC
• Surgicare of Central Florida-Lakeland, LLC
• Luis Javier Suri Bracero
• Joene Graven Sussex, LCSW
• Lauren Sutherland, M.S.
• Robert Sutton, DMD
• Suzanne Lavelle LLC
• Mohamed Swalih
• Swan City Chiropractic Corporation
• Swan City Eye Care

• Specialist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2010; 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.