Grazia Buffa, PTA, NBC-HWC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

License

A-3694981 Issued in MI

Practice address

54642 Hibiscus Dr
Macomb, MI 48042-2263

Phone

(586) 246-1123

NPI assigned

Apr 17, 2023

Last updated

Apr 17, 2023By 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

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": "1681689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1053007641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54642 HIBISCUS DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480422263",
            "telephone_number": "586-246-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54642 HIBISCUS DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480422263",
            "telephone_number": "586-246-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUFFA",
        "first_name": "GRAZIA",
        "credential": "PTA, NBC-HWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502002045",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "MI",
            "license": "A-3694981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health & Wellness Coach in Macomb, MI
• Providers in Macomb, MI by specialty
• Health & Wellness Coach in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.