Individual provider Active NPI

Meghan Dawn Sealy, ITDS

  • Case Manager/Care Coordinator
  • Pensacola, FL
National Provider Identifier
1902084825
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
3409 Riverside Dr
Pensacola, FL 32514-8172
Phone
(850) 477-8180
Fax
(850) 416-7348
NPI assigned
Feb 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

3409 Riverside Dr
Pensacola, FL 32514-8172

Mailing address

3409 Riverside Dr
Pensacola, FL 32514-8172
Phone (850) 477-8180

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": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201824000000",
    "number": "1902084825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 RIVERSIDE DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325148172",
            "telephone_number": "850-477-8180",
            "fax_number": "850-416-7348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 RIVERSIDE DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325148172",
            "telephone_number": "850-477-8180",
            "fax_number": "850-416-7348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEALY",
        "first_name": "MEGHAN",
        "middle_name": "DAWN",
        "credential": "ITDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.