Organization Active NPI

Glucose Guards LLC

  • Health Educator
  • Smithtown, NY
National Provider Identifier
1396313086
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
GLUCOSE GUARDS LLC
Practice address
994 W Jericho Tpke Ste 201
Smithtown, NY 11787-3234
Phone
(407) 719-6239
NPI assigned
Jun 17, 2021
Last updated
Jun 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Authorized official

Name
Mr. Sean WhiteNPI 1881166478
Title
Co-Founder
Phone
(407) 719-6239

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X NU Primary

Addresses

Primary practice location

994 W Jericho Tpke Ste 201
Smithtown, NY 11787-3234

Mailing address

1401 Gulf Blvd Apt 110
Clearwater, FL 33767-2832
Phone (407) 719-6239

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1396313086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 GULF BLVD APT 110",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337672832",
            "telephone_number": "407-719-6239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "994 W JERICHO TPKE STE 201",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873234",
            "telephone_number": "407-719-6239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLUCOSE GUARDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "407-719-6239",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.