Heather Daniele, FNTP

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

License

4061 Issued in NJ

Practice address

245 Main St Ste 2M
Matawan, NJ 07747-2007

Phone

(732) 996-5069

NPI assigned

Apr 29, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1194308908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WILLOW AVE",
            "city": "FARMINGDALE",
            "state": "NJ",
            "postal_code": "077273599",
            "telephone_number": "732-996-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 MAIN ST STE 2M",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472007",
            "telephone_number": "732-996-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELE",
        "first_name": "HEATHER",
        "name_prefix": "Mrs.",
        "credential": "FNTP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NJ",
            "license": "4061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golda Dacillo, PT
• Ketandra Jordanne Daley, RBT
• Lauren Elizabeth Daly
• Robert Lawrence Daly Jr., MA, LAC
• Andrew Daniele, DC
• Reyan Dar-Elnajar
• Gabrielle J Davis, LAC, NCC
• Kelly Anne Davis, MA, LAC
• Ida Vernelius Davistyson
• Maria Eduarda De Souza Melo

• Health & Wellness Coach in Matawan, NJ
• Providers in Matawan, NJ by specialty
• Health & Wellness Coach in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.