Active NPI
Kimberly Kay Uhlik
- Homemaker
- Port Orange, FL
National Provider Identifier
1144975012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- License
- 404142
- Practice address
- 1959 Halifax Dr
Port Orange, FL 32128-3713 - Phone
- (919) 520-9045
- NPI assigned
- Feb 18, 2022
- 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 |
|---|---|---|---|---|
| Homemaker | 376J00000X | 404142 | FL | Primary |
Addresses
Primary practice location
1959 Halifax Dr
Port Orange, FL 32128-3713
Mailing address
1959 Halifax Dr
Port Orange, FL 32128-3713
Phone (919) 520-9045
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 |
|---|---|---|---|
| 404142 | FL | MD | Homemaker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645142400000",
"number": "1144975012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1959 HALIFAX DR",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321283713",
"telephone_number": "919-520-9045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1959 HALIFAX DR",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321283713",
"telephone_number": "919-520-9045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UHLIK",
"first_name": "KIMBERLY",
"middle_name": "KAY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-18",
"last_updated": "2022-02-18",
"certification_date": "2022-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "FL",
"license": "404142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.