Individual provider Active NPI

Vanessa Redwing, NBCHWC

  • Health & Wellness Coach
  • Buffalo, NY
National Provider Identifier
1003694787
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
License
A-3813957 Issued in NY
Practice address
69 Linwood Ave
Buffalo, NY 14209-2203
Phone
(716) 539-5260
NPI assigned
Sep 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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 A-3813957 NY Primary

Addresses

Primary practice location

69 Linwood Ave
Buffalo, NY 14209-2203

Mailing address

342 N Park Ave Uppr
Buffalo, NY 14216-1938
Phone (171) 639-2348

Other practice location 1

560 Englewood Ave
Buffalo, NY 14223-2704
Phone (716) 392-3480

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

LicenseStateTypeSpecialty
A-3813957NYMDHealth & Wellness Coach

NPI Registry JSON

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1003694787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 N PARK AVE UPPR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142161938",
            "telephone_number": "171-639-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 LINWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092203",
            "telephone_number": "716-539-5260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 Englewood Ave",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142232704",
            "country_code": "US",
            "telephone_number": "716-392-3480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDWING",
        "first_name": "VANESSA",
        "credential": "NBCHWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NY",
            "license": "A-3813957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.