Active NPI
Brianna Headen
- Health & Wellness Coach
- Raleigh, NC
National Provider Identifier
1013325174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Practice address
- 421 Fayetteville St Ste 1100
Raleigh, NC 27601-3000 - Phone
- (866) 418-2186
- Fax
- (866) 500-2186
- NPI assigned
- Jul 31, 2014
- Last updated
- Feb 8, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Contractor | 171W00000X | |||
| Homemaker | 376J00000X | |||
| Health & Wellness Coach | 171400000X | Primary |
Addresses
Primary practice location
421 Fayetteville St Ste 1100
Raleigh, NC 27601-3000
Mailing address
3921 Shepway Loop
Greensboro, NC 27405-9751
Phone (336) 988-9209
Other practice location 1
500 Fairway Dr Ste 102
Deerfield Beach, FL 33441-1817
Phone (786) 399-3282
Other practice location 2
1602 Crystal Ln
Greensboro, NC 27403-3318
Phone (336) 988-9209
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": "1406764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1013325174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3921 SHEPWAY LOOP",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274059751",
"telephone_number": "336-988-9209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 FAYETTEVILLE ST STE 1100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276013000",
"telephone_number": "866-418-2186",
"fax_number": "866-500-2186"
}
],
"practiceLocations": [
{
"address_1": "500 Fairway Dr Ste 102",
"address_purpose": "LOCATION",
"city": "Deerfield Beach",
"state": "FL",
"postal_code": "334411817",
"country_code": "US",
"telephone_number": "786-399-3282",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1602 Crystal Ln",
"address_purpose": "LOCATION",
"city": "Greensboro",
"state": "NC",
"postal_code": "274033318",
"country_code": "US",
"telephone_number": "336-988-9209",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEADEN",
"first_name": "BRIANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-31",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.