Active NPI
Cicely Everson, MH, CFMP
- Health & Wellness Coach
- New Castle, DE
National Provider Identifier
1083092878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Practice address
- 109 Chesterfield Dr
New Castle, DE 19720-1220 - Phone
- (302) 275-6879
- NPI assigned
- May 12, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | 000000 | TX | |
| Health Educator | 174H00000X | 000000 | OR | |
| Health Educator | 174H00000X | DE | ||
| Health & Wellness Coach | 171400000X | SC | Primary |
Addresses
Primary practice location
109 Chesterfield Dr
New Castle, DE 19720-1220
Mailing address
18199 Beaver Dam Rd
Lewes, DE 19958-4535
Phone (302) 344-1789
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cicely@taoholistics.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000000 | OR | MD | Health Educator |
| 000000 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Everah Enterprises LLC | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1083092878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18199 BEAVER DAM RD",
"city": "LEWES",
"state": "DE",
"postal_code": "199584535",
"telephone_number": "302-344-1789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 CHESTERFIELD DR",
"city": "NEW CASTLE",
"state": "DE",
"postal_code": "197201220",
"telephone_number": "302-275-6879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERSON",
"first_name": "CICELY",
"name_prefix": "Mrs.",
"credential": "MH, CFMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-12",
"last_updated": "2022-08-19",
"certification_date": "2022-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "TX",
"license": "000000",
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "OR",
"license": "000000",
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "DE",
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "SC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cicely@taoholistics.com",
"affiliation": "N",
"endpointDescription": "Business email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "18199 Beaver Dam Rd",
"city": "Lewes",
"state": "DE",
"country_code": "US",
"postal_code": "199584535",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New Castle, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.