Active NPI
Kylie Sachs, LMT
- Community Health Worker
- Seminole, FL
National Provider Identifier
1184939662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- MA 50449
- Practice address
- 8836 Seminole Blvd
Seminole, FL 33772-3848 - Phone
- (727) 641-5760
- NPI assigned
- Aug 9, 2010
- Last updated
- Aug 9, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | MA 50449 | FL | Primary |
Addresses
Primary practice location
8836 Seminole Blvd
Seminole, FL 33772-3848
Mailing address
3399 Thalia CT
Clearwater, FL 33761-1331
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 |
|---|---|---|---|
| MA 50449 | FL | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281312000000",
"number": "1184939662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3399 THALIA CT",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337611331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8836 SEMINOLE BLVD",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337723848",
"telephone_number": "727-641-5760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACHS",
"first_name": "KYLIE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-09",
"last_updated": "2010-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "FL",
"license": "MA 50449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seminole, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.