Organization Active NPI

Ghoat LLC

  • Health & Wellness Coach
  • Sacramento, CA
National Provider Identifier
1144044397
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Legal business name
GHOAT LLC
Practice address
825 K St Ste 200
Sacramento, CA 95814-3547
Phone
(916) 412-1156
NPI assigned
Nov 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Mr. Tyler Smith
Title
Sole Member
Phone
(916) 412-1156

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X Primary
Public Health & General Preventive Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0901X

Addresses

Primary practice location

825 K St Ste 200
Sacramento, CA 95814-3547

Mailing address

825 K St Ste 200
Sacramento, CA 95814-3547
Phone (916) 412-1156

Other names 1

  • Hundred Health Other name

National Provider Directory

National Provider Directory

Locations

825 K St
Ste 200
Sacramento, CA 95814
Phone (916) 412-1156

NPI Registry JSON

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1144044397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 K ST STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958143547",
            "telephone_number": "916-412-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 K ST STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958143547",
            "telephone_number": "916-412-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHOAT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "916-412-1156",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hundred Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.

Verify at the official NPI Registry.