Active NPI
Kylil Abraham Morales
- Health Educator
- Jasper, FL
National Provider Identifier
1396622007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- 40970
- Practice address
- 3111 NW 111TH CT
Jasper, FL 32052-2510 - Phone
- (215) 876-7304
- NPI assigned
- Aug 18, 2025
- Last updated
- Aug 18, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | 40970 | PA | Primary |
| Health & Wellness Coach | 171400000X | 40970 | PA |
Addresses
Primary practice location
3111 NW 111TH CT
Jasper, FL 32052-2510
Mailing address
3111 NW 111TH CT
Jasper, FL 32052-2510
Phone (215) 876-7304
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
| License | State | Type | Specialty |
|---|---|---|---|
| 40970 | PA | MD | Health & Wellness Coach |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755475200000",
"number": "1396622007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3111 NW 111TH CT",
"city": "JASPER",
"state": "FL",
"postal_code": "320522510",
"telephone_number": "215-876-7304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3111 NW 111TH CT",
"city": "JASPER",
"state": "FL",
"postal_code": "320522510",
"telephone_number": "215-876-7304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORALES",
"first_name": "KYLIL",
"middle_name": "ABRAHAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-08-18",
"last_updated": "2025-08-18",
"certification_date": "2025-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "PA",
"license": "40970",
"primary": true
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "PA",
"license": "40970",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jasper, FL
- Mary McGrath, RDH
- Medical Diagnostic Services of Central Florida Inc
- Meridian Behavioral Healthcare
- Meridian Behavioral Healthcare, Inc.
- Meridian Behavioral Healthcare, Inc.
- Michael David Newman, PHARMD.
- W. Benjamin Norris Jr., D.M.D.
- North Florida Pediatrics, PA
- North Florida Pediatrics, PA
- North Florida Pediatrics, PA.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.