Individual provider Active NPI

Kaylee Ella Contreras

  • Student in an Organized Health Care Education/Training Program
  • Pawtucket, RI
National Provider Identifier
1629616321
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
123 Spring St Apt 2
Pawtucket, RI 02860-3020
Phone
(401) 365-9620
NPI assigned
Dec 13, 2019
Last updated
Dec 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary
Athletic Trainer 2255A2300X NU

Addresses

Primary practice location

123 Spring St Apt 2
Pawtucket, RI 02860-3020

Mailing address

123 Spring St Apt 2
Pawtucket, RI 02860-3020

Other practice location 1

1844 Commonwealth Ave
Auburndale, MA 02466-2709
Phone (401) 365-9620

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": "1576195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1629616321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 SPRING ST APT 2",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028603020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 SPRING ST APT 2",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028603020",
            "telephone_number": "401-365-9620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1844 Commonwealth Ave",
            "address_purpose": "LOCATION",
            "city": "Auburndale",
            "state": "MA",
            "postal_code": "024662709",
            "country_code": "US",
            "telephone_number": "401-365-9620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONTRERAS",
        "first_name": "KAYLEE",
        "middle_name": "ELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-13",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.