Individual provider Active NPI

Kate McCormick Sahliyeh, NTP

  • Health & Wellness Coach
  • Fort Worth, TX
National Provider Identifier
1548992902
Registry record updated Jun 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
License
6521 Issued in TX
Practice address
4217 Galway Ave
Fort Worth, TX 76109-5306
Phone
(409) 466-4427
NPI assigned
Jun 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X 6521 TX Primary

Addresses

Primary practice location

4217 Galway Ave
Fort Worth, TX 76109-5306

Mailing address

4217 Galway Ave
Fort Worth, TX 76109-5306
Phone (409) 466-4427

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://pro.nutri-q.com Direct Nutritional Therapy Association LLC

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

LicenseStateTypeSpecialty
6521TXMDHealth & Wellness Coach

NPI Registry JSON

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

{
    "created_epoch": "1656115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656115200000",
    "number": "1548992902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217 GALWAY AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761095306",
            "telephone_number": "409-466-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4217 GALWAY AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761095306",
            "telephone_number": "409-466-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHLIYEH",
        "first_name": "KATE",
        "middle_name": "MCCORMICK",
        "name_prefix": "Mrs.",
        "credential": "NTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-25",
        "last_updated": "2022-06-25",
        "certification_date": "2022-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "TX",
            "license": "6521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://pro.nutri-q.com",
            "affiliation": "Y",
            "endpointDescription": "Nutri Q",
            "affiliationName": "Nutritional Therapy Association LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4217 Galway Ave",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761095306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2022; 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.