Individual provider Active NPI

Kathleen Marie Seifert, LMT;CCMT;

  • Health Educator
  • Sun City, AZ
National Provider Identifier
1245506955
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
License
MT 04907 Issued in AZ
Practice address
10718 W Buccaneer Way
Sun City, AZ 85351-2650
Phone
(623) 243-5678
NPI assigned
Mar 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X CCMT 29473 CA
Health Educator 174H00000X MT 04907 AZ Primary

Addresses

Primary practice location

10718 W Buccaneer Way
Sun City, AZ 85351-2650

Mailing address

10718 W Buccaneer Way
Sun City, AZ 85351-2650
Phone (623) 243-5678

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
CCMT 29473CAMDSpecialist
MT 04907AZMDHealth Educator

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1245506955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10718 W BUCCANEER WAY",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853512650",
            "telephone_number": "623-243-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10718 W BUCCANEER WAY",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853512650",
            "telephone_number": "623-243-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIFERT",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "credential": "LMT;CCMT;",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "CCMT 29473",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "AZ",
            "license": "MT 04907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.