Active NPI
Sean Patrick Carr, NBC-HWC
- Health & Wellness Coach
- Oakland, CA
National Provider Identifier
1073320404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Practice address
- 2940 Summit St Ste 2D
Oakland, CA 94609-3416 - Phone
- (925) 633-4828
- NPI assigned
- Dec 18, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | Primary |
Addresses
Primary practice location
2940 Summit St Ste 2D
Oakland, CA 94609-3416
Mailing address
5421 Azure CT
Discovery Bay, CA 94505-9218
Phone (925) 775-9495
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McIlroy Professional Corporation | Health & Wellness Coach | Current | Accepting new patients |
Locations
2940 Summit St
Ste 2D
Oakland, CA 94609
Phone (510) 408-6532
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Integrative Medicine Physician
- Oakland, CA
- NPI 1902680077
Health & Wellness Coach
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734480000000",
"number": "1073320404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5421 AZURE CT",
"city": "DISCOVERY BAY",
"state": "CA",
"postal_code": "945059218",
"telephone_number": "925-775-9495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 SUMMIT ST STE 2D",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093416",
"telephone_number": "925-633-4828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "SEAN",
"middle_name": "PATRICK",
"credential": "NBC-HWC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-12-18",
"last_updated": "2024-12-18",
"certification_date": "2024-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.