1. Home
  2. Directory
  3. California
  4. Santa Cruz
  5. Peer Specialist
  6. NPI Profile

KYLIE AMBER WYLDBORE
NPI 1194509745
Peer Specialist in Santa Cruz, CA

Active since August 23, 2023
1201 SHAFFER RD., BLDG 1 SUITE 1A, SANTA CRUZ, CA 95060(831) 888-6234 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kylie Amber Wyldbore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLIE AMBER WYLDBORE (NPI 1194509745) is an individual peer specialist in Santa Cruz, California, licensed in California (MPSS-PGWUZT) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1194509745
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKYLIE AMBER WYLDBORE
Location Address1201 SHAFFER RD., BLDG 1 SUITE 1ASanta Cruz, CA 95060
Mailing Address1201 Shaffer Rd., Bldg 1 Suite 1aSanta Cruz, CA 95060 · (831) 888-6234
Phone(831) 888-6234
Sole ProprietorNo
Enumeration DateAugust 23, 2023
NPPES CertifiedAugust 23, 2023
✔ NPI 1194509745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in CA · MPSS-PGWUZT
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1201 SHAFFER RD., Santa Cruz, CA 95060
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kylie Wyldbore's NPI number?

The NPI number for Kylie Wyldbore is 1194509745. It was assigned to this individual provider in the NPPES registry on August 23, 2023.

Where is Kylie Wyldbore located?

Kylie Wyldbore practices at 1201 Shaffer Rd. Bldg 1 Suite 1A, Santa Cruz, CA 95060. The listed phone number is (831) 888-6234.

What is Kylie Wyldbore's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kylie Wyldbore was last updated on August 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.