Organization Active NPI

Life Coaching

  • Health Educator
  • Durham, NC
National Provider Identifier
1104281617
Registry record updated Dec 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
LIFE COACHING
Practice address
1201 N Roxboro St
Durham, NC 27701-2354
Phone
(919) 973-2799
NPI assigned
Dec 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Wanda J Mitchell
Title
Life Coach
Phone
(919) 260-5106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X Primary

Addresses

Primary practice location

1201 N Roxboro St
Durham, NC 27701-2354

Mailing address

4449 Alderny Cir
High Point, NC 27265-9276
Phone (919) 260-5106

National Provider Directory

National Provider Directory

Locations

1201 N Roxboro St
Durham, NC 27701
Phone (919) 973-2799

NPI Registry JSON

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1104281617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4449 ALDERNY CIR",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272659276",
            "telephone_number": "919-260-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N ROXBORO ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277012354",
            "telephone_number": "919-973-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE COACHING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-28",
        "last_updated": "2015-12-29",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "LIFE COACH",
        "authorized_official_telephone_number": "919-260-5106",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.