Individual provider Active NPI

Sarah Kuykendall Spradlin, NBC-HWC, RD

  • Health & Wellness Coach
  • Birmingham, AL
National Provider Identifier
1659002855
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
License
3169728 Issued in AL
Practice address
110 12TH St N
Birmingham, AL 35203-1537
Phone
(855) 255-2362
NPI assigned
Jun 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X 86040777 AL
Health & Wellness Coach 171400000X 3169728 AL Primary

Addresses

Primary practice location

110 12TH St N
Birmingham, AL 35203-1537

Mailing address

110 12TH St N
Birmingham, AL 35203-1537

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@packhealth.com Direct

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
86040777ALMDObesity and Weight Management Nutrition Registered Dietitian
3169728ALMDHealth & Wellness Coach

Practice roles

OrganizationSpecialtyStatusNew patients
Pack Health, LLC Health & Wellness Coach CurrentSince Jun 26, 2022 Accepting new patients

Locations

110 12th St N
Birmingham, AL 35203
Phone (855) 255-2362

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1659002855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 12TH ST N",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352031537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 12TH ST N",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352031537",
            "telephone_number": "855-255-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRADLIN",
        "first_name": "SARAH",
        "middle_name": "KUYKENDALL",
        "credential": "NBC-HWC, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "AL",
            "license": "86040777",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "AL",
            "license": "3169728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@packhealth.com",
            "affiliation": "N",
            "endpointDescription": "secure inbox",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "110 12th St N",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352031537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.