Active NPI
Glucose Guards LLC
- Health Educator
- Smithtown, NY
National Provider Identifier
1396313086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Sean White
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Physician Assistant
- Houston, TX
- NPI 1881166478
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.