Active NPI
Kayla Uphill
- Counselor
- Menasha, WI
National Provider Identifier
1851875629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 4032-226
- Practice address
- 1366 Appleton Rd
Menasha, WI 54952-1504 - Phone
- (920) 843-8980
- NPI assigned
- Sep 18, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 4032-226 | WI | Primary |
Addresses
Primary practice location
1366 Appleton Rd
Menasha, WI 54952-1504
Mailing address
505 S Story St
Appleton, WI 54914-5307
Phone (920) 740-2899
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4032-226 | WI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537228800000",
"number": "1851875629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 S STORY ST",
"city": "APPLETON",
"state": "WI",
"postal_code": "549145307",
"telephone_number": "920-740-2899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1366 APPLETON RD",
"city": "MENASHA",
"state": "WI",
"postal_code": "549521504",
"telephone_number": "920-843-8980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UPHILL",
"first_name": "KAYLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-18",
"last_updated": "2018-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WI",
"license": "4032-226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Menasha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.