Individual provider Active NPI

Ruth K Wirawan, MS, FDN-P, EEM-CP

  • Health & Wellness Coach
  • Lewisville, TX
National Provider Identifier
1144155342
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Practice address
892 Union Station Pkwy Apt 8301
Lewisville, TX 75057-5228
Phone
(408) 475-1514
NPI assigned
Jun 17, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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 Primary

Addresses

Primary practice location

892 Union Station Pkwy Apt 8301
Lewisville, TX 75057-5228

Mailing address

892 Union Station Pkwy Apt 8301
Lewisville, TX 75057-5228
Phone (651) 500-4183

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": "1781654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1144155342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "892 UNION STATION PKWY APT 8301",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750575228",
            "telephone_number": "651-500-4183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "892 UNION STATION PKWY APT 8301",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750575228",
            "telephone_number": "408-475-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIRAWAN",
        "first_name": "RUTH",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "MS, FDN-P, EEM-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.