Breath of Elan LLC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

BREATH OF ELAN LLC

Practice address

3619 Quarter Horse TRL
Manvel, TX 77578-3571

Phone

(281) 967-3452

NPI assigned

Feb 2, 2022

Last updated

Feb 2, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kim Lattimore, DHSC, MPAS, PA-C, CH

Title

Program Development Coordinator

Phone

(281) 967-3452

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1215680905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9212 FRY RD STE 105",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335487",
            "telephone_number": "346-708-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3619 QUARTER HORSE TRL",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "775783571",
            "telephone_number": "281-967-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATH OF ELAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "LATTIMORE",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "PROGRAM DEVELOPMENT COORDINATOR",
        "authorized_official_telephone_number": "281-967-3452",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DHSC, MPAS, PA-C, CH"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://breathofelan.practicebetter.io/#/61ab0fd439803307b06a3c9a/bookings?step=services",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3619 Quarter Horse Trl",
            "city": "Manvel",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775783571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.

Verify at the official NPI Registry.