Individual provider Active NPI

Yeira Builes, HEALTH COACH

  • Health & Wellness Coach
  • Milford, CT
National Provider Identifier
1114678174
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Practice address
125 Clark St
Milford, CT 06460-3202
Phone
(203) 253-3698
NPI assigned
Jan 12, 2022
Last updated
Jan 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X CT Primary

Addresses

Primary practice location

125 Clark St
Milford, CT 06460-3202

Mailing address

125 Clark St
Milford, CT 06460-3202
Phone (203) 253-3698

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Serenity.wisdom@outlook.com

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

NPI Registry JSON

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1114678174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CLARK ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603202",
            "telephone_number": "203-253-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CLARK ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603202",
            "telephone_number": "203-253-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUILES",
        "first_name": "YEIRA",
        "credential": "HEALTH COACH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Serenity.wisdom@outlook.com",
            "affiliation": "N",
            "address_1": "125 Clark St",
            "city": "Milford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064603202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.

Verify at the official NPI Registry.