Active NPI
Kathy D Sella, MD
- Family Medicine Physician
- Jacksonville, FL
National Provider Identifier
1316186711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME102403
- Practice address
- 9802 Baymeadows Rd Ste 12
#133
Jacksonville, FL 32256-7987 - Phone
- (904) 443-1100
- NPI assigned
- Feb 10, 2009
- Last updated
- Feb 23, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | ME102403 | FL | |
| Family Medicine Physician | 207Q00000X | ME102403 | FL | Primary |
Addresses
Primary practice location
9802 Baymeadows Rd Ste 12
#133
Jacksonville, FL 32256-7987
Mailing address
9802 Baymeadows Rd Ste 12
#133
Jacksonville, FL 32256-7987
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME102403 | FL | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329955200000",
"number": "1316186711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9802 BAYMEADOWS RD STE 12",
"address_2": "#133",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322567987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9802 BAYMEADOWS RD STE 12",
"address_2": "#133",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322567987",
"telephone_number": "904-443-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELLA",
"first_name": "KATHY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-10",
"last_updated": "2012-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "ME102403",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME102403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.