Active NPI
Kylea Sheils
- Student in an Organized Health Care Education/Training Program
- Oceanside, CA
National Provider Identifier
1578004677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 3605 Vista Way Ste 258
Oceanside, CA 92056-4565 - Phone
- (760) 758-1480
- NPI assigned
- Mar 9, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary | ||
| Other Technician | 247200000X |
Addresses
Primary practice location
3605 Vista Way Ste 258
Oceanside, CA 92056-4565
Mailing address
3605 Vista Way Ste 258
Oceanside, CA 92056-4565
Other practice location 1
6540 Lusk Blvd Ste C256
San Diego, CA 92121-5795
Phone (877) 264-6747
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1578004677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3605 VISTA WAY STE 258",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920564565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3605 VISTA WAY STE 258",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920564565",
"telephone_number": "760-758-1480"
}
],
"practiceLocations": [
{
"address_1": "6540 Lusk Blvd Ste C256",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921215795",
"country_code": "US",
"telephone_number": "877-264-6747",
"fax_number": "877-539-7730",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEILS",
"first_name": "KYLEA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-09",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
},
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.