Active NPI
Chelsea Leigh Kolarik, COTA/L
- Health Educator
- El Dorado Hills, CA
National Provider Identifier
1104279900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- 3219
- Practice address
- 1150 Suncast LN
El Dorado Hills, CA 95762-9324 - Phone
- (916) 365-2411
- NPI assigned
- Jul 15, 2016
- 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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | 3219 | CA | Primary |
Addresses
Primary practice location
1150 Suncast LN
El Dorado Hills, CA 95762-9324
Mailing address
4001 Warren Ave
Sacramento, CA 95822-1022
Phone (916) 588-8192
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 |
|---|---|---|---|
| 3219 | CA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468540800000",
"number": "1104279900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 WARREN AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958221022",
"telephone_number": "916-588-8192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 SUNCAST LN",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957629324",
"telephone_number": "916-365-2411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLARIK",
"first_name": "CHELSEA",
"middle_name": "LEIGH",
"name_prefix": "Mrs.",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-15",
"last_updated": "2016-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "CA",
"license": "3219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Dorado Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.