Individual provider Active NPI

Paulett Sakala

  • Contractor
  • Irving, TX
National Provider Identifier
1205380268
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
02853280 Issued in TX
Practice address
3517 W Northgate Dr Apt 808
Irving, TX 75062-3076
Phone
(469) 335-6791
NPI assigned
Aug 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 02853280 TX Primary

Addresses

Primary practice location

3517 W Northgate Dr Apt 808
Irving, TX 75062-3076

Mailing address

3517 W Northgate Dr Apt 808
Irving, TX 75062-3076
Phone (469) 335-6791

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

LicenseStateTypeSpecialty
02853280TXMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1205380268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3517 W NORTHGATE DR APT 808",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623076",
            "telephone_number": "469-335-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3517 W NORTHGATE DR APT 808",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623076",
            "telephone_number": "469-335-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKALA",
        "first_name": "PAULETT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-08",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "TX",
            "license": "02853280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.

Verify at the official NPI Registry.