Individual provider Active NPI

Rachel Elizabeth Miles Sijacic, FDN-P, HLC2

  • Health & Wellness Coach
  • Turlock, CA
National Provider Identifier
1003572090
Registry record updated Nov 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Practice address
3025 W Christoffersen Pkwy Apt G206
Turlock, CA 95382-8069
Phone
(912) 659-7727
NPI assigned
Nov 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X CA Primary

Addresses

Primary practice location

3025 W Christoffersen Pkwy Apt G206
Turlock, CA 95382-8069

Mailing address

3025 W Christoffersen Pkwy Apt G206
Turlock, CA 95382-8069
Phone (912) 659-7727

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": "1636761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636761600000",
    "number": "1003572090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 W CHRISTOFFERSEN PKWY APT G206",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953828069",
            "telephone_number": "912-659-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 W CHRISTOFFERSEN PKWY APT G206",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953828069",
            "telephone_number": "912-659-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES SIJACIC",
        "first_name": "RACHEL",
        "middle_name": "ELIZABETH",
        "credential": "FDN-P, HLC2",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-13",
        "last_updated": "2021-11-13",
        "certification_date": "2021-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2021; 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.