Jessica Mixon

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

2641 Mountain Stream Way SE
Owens Cross Roads, AL 35763-5006

Phone

(334) 379-4379

NPI assigned

Jul 22, 2022

Last updated

Jul 22, 2022By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1013642974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2641 MOUNTAIN STREAM WAY SE",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357635006",
            "telephone_number": "334-379-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 MOUNTAIN STREAM WAY SE",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357635006",
            "telephone_number": "334-379-4379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIXON",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "myhopehealer",
            "affiliation": "N",
            "address_1": "2641 Mountain Stream Way SE",
            "city": "Owens Cross Roads",
            "state": "AL",
            "country_code": "US",
            "postal_code": "357635006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Health & Wellness Coach in Owens Cross Roads, AL
• Providers in Owens Cross Roads, AL by specialty
• Health & Wellness Coach in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.