Latoya Dyan Ellis, NBC-HWC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

License

A-3518216 Issued in NC

Practice address

515 Red Fox CT
Hendersonville, NC 28792-9253

Phone

(210) 264-9948

NPI assigned

Jul 14, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1003540089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 RED FOX CT",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287929253",
            "telephone_number": "210-264-9948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 RED FOX CT",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287929253",
            "telephone_number": "210-264-9948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "LATOYA",
        "middle_name": "DYAN",
        "credential": "NBC-HWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NC",
            "license": "A-3518216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD FOR HEALTH & WELLNESS COACHING",
            "identifier": "A-3518216",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "livingfortheuniqueyou.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "515 Red Fox Ct",
            "city": "Hendersonville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "287929253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jamie Ellex, PHARMD
• Ellie'S Place FCH
• Debbie Louise Elliott, PHARM. D
• Kristin Michelle Elliott, MA, LCMHC-A
• David Anderson Ellis, M.D.
• Serena Grace Ellis, PT, DPT
• Kenneth M Ellsworth, PT
• Carrie Ann Elmore, RD
• Emergeortho PA
• Emeritus Assisted Living

• Health & Wellness Coach in Hendersonville, NC
• Providers in Hendersonville, NC by specialty
• Health & Wellness Coach in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.