Active NPI
Nikkita Davis-Gulley
- Health & Wellness Coach
- Marietta, GA
National Provider Identifier
1174276299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Practice address
- 2131 Kingston CT SE Ste 100
Marietta, GA 30067-8929 - Phone
- (470) 303-3803
- NPI assigned
- Jan 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
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
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2131 Kingston CT SE Ste 100
Marietta, GA 30067-8929
Mailing address
2131 Kingston CT SE Ste 100
Marietta, GA 30067-8929
Phone (470) 303-3803
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | neko@nekorose.com | Direct |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 28, 2022.
{
"created_epoch": "1643328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643328000000",
"number": "1174276299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2131 KINGSTON CT SE STE 100",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300678929",
"telephone_number": "470-303-3803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2131 KINGSTON CT SE STE 100",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300678929",
"telephone_number": "470-303-3803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS-GULLEY",
"first_name": "NIKKITA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-28",
"last_updated": "2022-01-28",
"certification_date": "2022-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "neko@nekorose.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2131 Kingston Ct SE Ste 100",
"city": "Marietta",
"state": "GA",
"country_code": "US",
"postal_code": "300678929",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.