Individual provider Active NPI

Sandra Milena Moreno

  • Health & Wellness Coach
  • Boca Raton, FL
National Provider Identifier
1184296253
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Practice address
880 NW 13TH St Ste 300
Boca Raton, FL 33486-2342
Phone
(844) 665-4827
Fax
(188) 843-4095
NPI assigned
Jul 16, 2021
Last updated
Jul 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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 NU Primary

Addresses

Primary practice location

880 NW 13TH St Ste 300
Boca Raton, FL 33486-2342

Mailing address

880 NW 13TH St Ste 300
Boca Raton, FL 33486-2342
Phone (844) 665-4827

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": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1184296253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 NW 13TH ST STE 300",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862342",
            "telephone_number": "844-665-4827",
            "fax_number": "188-843-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 NW 13TH ST STE 300",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862342",
            "telephone_number": "844-665-4827",
            "fax_number": "188-843-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "SANDRA",
        "middle_name": "MILENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.