Active NPI
Elba Elizabeth Della Sala, NBC-HWC
- Health & Wellness Coach
- Longwood, FL
National Provider Identifier
1194581645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- License
- 171400000X
- Practice address
- 1423 Crocus CT
Longwood, FL 32750-4519 - Phone
- (908) 872-8483
- NPI assigned
- Feb 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | 171400000X | FL | Primary |
Addresses
Primary practice location
1423 Crocus CT
Longwood, FL 32750-4519
Mailing address
1423 Crocus CT
Longwood, FL 32750-4519
Phone (908) 872-8483
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 171400000X | FL | MD | Health & Wellness Coach |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708560000000",
"number": "1194581645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1423 CROCUS CT",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327504519",
"telephone_number": "908-872-8483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1423 CROCUS CT",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327504519",
"telephone_number": "908-872-8483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELLA SALA",
"first_name": "ELBA",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "NBC-HWC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-22",
"last_updated": "2024-02-22",
"certification_date": "2022-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "FL",
"license": "171400000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.