Active NPI
Sarah Elizabeth Kellogg, D.C.
- Chiropractor
- Sarasota, FL
National Provider Identifier
1356679104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00679000
- Practice address
- 313 Interstate Blvd Ste 8
Sarasota, FL 34240-8409 - Phone
- (941) 371-4747
- NPI assigned
- Dec 4, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00679000 | NJ | Primary |
Addresses
Primary practice location
313 Interstate Blvd Ste 8
Sarasota, FL 34240-8409
Mailing address
702 N Beers St
Suite #8
Holmdel, NJ 07733-1520
Phone (908) 902-9483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231222001246 | FL | Practitioner - Chiropractic | 4880881663 | Practice locations: Sarasota, FL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00679000 | NJ | MD | Chiropractor |
| 8489 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Performance Physical Therapy, PLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Lansing, MI
- NPI 1134428642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700438400000",
"number": "1356679104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 N BEERS ST",
"address_2": "SUITE #8",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077331520",
"telephone_number": "908-902-9483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 INTERSTATE BLVD STE 8",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342408409",
"telephone_number": "941-371-4747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLOGG",
"first_name": "SARAH",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-04",
"last_updated": "2023-11-20",
"certification_date": "2023-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00679000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.