Organization Active NPI

Coach Kandye

  • Mechanotherapist
  • Sacramento, CA
National Provider Identifier
1487004776
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
37058 Issued in CA
Legal business name
COACH KANDYE
Practice address
225 30TH St
303
Sacramento, CA 95816-3359
Phone
(916) 469-5433
NPI assigned
Jun 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Authorized official

Name
Ms. Kamela Anne Hill, CMTNPI 1457707721
Title
Certified Massage Therapist
Phone
(916) 469-5433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MechanotherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 172M00000X 37058 CA Primary

Addresses

Primary practice location

225 30TH St
303
Sacramento, CA 95816-3359

Mailing address

225 30TH St
303
Sacramento, CA 95816-3359
Phone (916) 469-5433

National Provider Directory

National Provider Directory

Locations

225 30th St
Ste 303
Sacramento, CA 95816
Phone (916) 226-0527

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1487004776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 30TH ST",
            "address_2": "303",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163359",
            "telephone_number": "916-469-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 30TH ST",
            "address_2": "303",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163359",
            "telephone_number": "916-469-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COACH KANDYE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "KAMELA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CERTIFIED MASSAGE  THERAPIST",
        "authorized_official_telephone_number": "916-469-5433",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CMT"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Mechanotherapist",
            "state": "CA",
            "license": "37058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.