Active NPI
Jennifer Rose Myers
- Health & Wellness Coach
- Bloomsburg, PA
National Provider Identifier
1205585155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Practice address
- 238 Iron St
Bloomsburg, PA 17815-1871 - Phone
- (570) 594-5440
- NPI assigned
- Mar 19, 2022
- 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 | Primary |
Addresses
Primary practice location
238 Iron St
Bloomsburg, PA 17815-1871
Mailing address
5 E 3Rd St Apt 3
Bloomsburg, PA 17815-1934
Phone (570) 594-5440
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | ESET | Direct |
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": "1647648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647648000000",
"number": "1205585155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 E 3RD ST APT 3",
"city": "BLOOMSBURG",
"state": "PA",
"postal_code": "178151934",
"telephone_number": "570-594-5440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "238 IRON ST",
"city": "BLOOMSBURG",
"state": "PA",
"postal_code": "178151871",
"telephone_number": "570-594-5440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "JENNIFER",
"middle_name": "ROSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-19",
"last_updated": "2022-03-19",
"certification_date": "2022-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "ESET",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "238 Iron St",
"city": "Bloomsburg",
"state": "PA",
"country_code": "US",
"postal_code": "178151871",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bloomsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.