Paula Jean Dubose

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

License

A-4206990 Issued in SC

Practice address

4415 Green Bay TRL
Myrtle Beach, SC 29577-2651

Phone

(586) 322-4453

Fax

(586) 322-4453

NPI assigned

Feb 23, 2026

Last updated

Feb 23, 2026By 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 2

Addresses

Other names 1

• Paula Jean Caruso Former name

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": "1771804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1043164585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 GREEN BAY TRL",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295772651",
            "telephone_number": "586-322-4453",
            "fax_number": "586-322-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 GREEN BAY TRL",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295772651",
            "telephone_number": "586-322-4453",
            "fax_number": "586-322-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOSE",
        "first_name": "PAULA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-23",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "SC",
            "license": "A-4206990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULA",
            "last_name": "CARUSO",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christine Michelle Drew, FNP-BC
• Gary Drew
• Sterling Driggers, MS, CCC-SLP
• Robert Drozdowski Jr., RPH
• Madelaine Duarte
• Ryan Steven Dubose, MS, DABR
• Carolyn Dudko, MD
• Amy Lynn Duff, DO
• Richard Francis Duff III, M.D.
• Meredith Marie Duganich, ATC

• Health & Wellness Coach in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Health & Wellness Coach in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.