Kylan Seville

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

19 Madison St
Manchester, CT 06040-5333

Phone

(347) 217-0460

NPI assigned

Mar 26, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784937600000",
    "number": "1225888720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 MADISON ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405333",
            "telephone_number": "347-217-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 MADISON ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405333",
            "telephone_number": "347-217-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVILLE",
        "first_name": "KYLAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-26",
        "last_updated": "2026-07-25",
        "certification_date": "2026-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": "CT",
            "license": null,
            "primary": true
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": "CT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serge P. Poulin, MD
• Alyssa Marie Serra
• Katarina Serrano
• Sean Serrano, LMSW
• Kerian Service, M.D.
• Michelle Seville
• Abid Shah, DPT, PT
• Dinesh S. Shah, M.D.
• Nikitaben Jagjivandas Shah, PHARMD
• Tushin Atulkumar Shah

• Health & Wellness Coach in Manchester, CT
• Providers in Manchester, CT by specialty
• Health & Wellness Coach in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2026; 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.