Active NPI
Greenheart Living LLC
- Health & Wellness Coach
- Brown Deer, WI
National Provider Identifier
1174487763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Legal business name
- GREENHEART LIVING LLC
- Practice address
- 3900 W Brown Deer Rd Ste C9
Brown Deer, WI 53209-1220 - Phone
- (262) 469-1053
- NPI assigned
- Dec 9, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dana Perry
- Title
- Owner
- Phone
- (414) 698-0990
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | |||
| Registered Dietitian | 133V00000X | |||
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | |||
| Acupuncturist | 171100000X | |||
| Health & Wellness Coach | 171400000X | Primary | ||
| Community Health Worker | 172V00000X | |||
| Health Educator | 174H00000X | |||
| Homeopath | 175L00000X | |||
| Peer Specialist | 175T00000X | |||
| Dance Therapist | 225600000X | |||
| Recreation Therapist | 225800000X | |||
| Music Therapist | 225A00000X | |||
| Holistic Clinical Nurse Specialist | 364SH1100X | |||
| Prevention Professional | 405300000X |
Addresses
Primary practice location
3900 W Brown Deer Rd Ste C9
Brown Deer, WI 53209-1220
Mailing address
PO Box 1111
West Bend, WI 53095-8611
Phone (414) 698-0990
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765929600000",
"number": "1174487763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1111",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530958611",
"telephone_number": "414-698-0990",
"fax_number": "855-853-8249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 W BROWN DEER RD STE C9",
"city": "BROWN DEER",
"state": "WI",
"postal_code": "532091220",
"telephone_number": "262-469-1053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENHEART LIVING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-09",
"last_updated": "2025-12-17",
"certification_date": "2025-12-17",
"status": "A",
"authorized_official_last_name": "PERRY",
"authorized_official_first_name": "DANA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "414-698-0990"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": true
},
{
"code": "172V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "175L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homeopath",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dance Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Recreation Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Music Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "364SH1100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Holistic",
"state": null,
"license": null,
"primary": false
},
{
"code": "405300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Prevention Professional",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brown Deer, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.