NPIMap

Organization Active NPI

Womb of Peace LLC

  • Health & Wellness Coach
  • Marietta, GA
National Provider Identifier
1174277651
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Legal business name
WOMB OF PEACE LLC
Practice address
1634 E Lake Dr
Marietta, GA 30062-2111
Phone
(678) 510-3769
NPI assigned
Feb 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Authorized official

Name
Yasmine Marie MinnifieldNPI 1255808044
Title
Ceo
Phone
(678) 510-3769

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193400000X SINGLE SPECIALTY GROUP 171400000X Primary

Addresses

Primary practice location

1634 E Lake Dr
Marietta, GA 30062-2111

Mailing address

1634 E Lake Dr
Marietta, GA 30062-2111
Phone (678) 510-3769

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL rupahealth.com

National Provider Directory

National Provider Directory
Tax ID family
Womb of Peace LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1174277651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 E LAKE DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300622111",
            "telephone_number": "678-510-3769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 E LAKE DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300622111",
            "telephone_number": "678-510-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMB OF PEACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "MINNIFIELD",
        "authorized_official_first_name": "YASMINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-510-3769"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rupahealth.com",
            "affiliation": "N",
            "address_1": "1634 E Lake Dr",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300622111",
            "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 Feb 4, 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.