Individual provider Active NPI

Mary Caroline Stein-Rosales, FNTP, HEALTH COACH

  • Health & Wellness Coach
  • Ballwin, MO
National Provider Identifier
1235830076
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Practice address
7 Courtway PL
Ballwin, MO 63011-2717
Phone
(917) 821-2434
NPI assigned
Mar 16, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X
Health & Wellness Coach 171400000X Primary

Addresses

Primary practice location

7 Courtway PL
Ballwin, MO 63011-2717

Mailing address

7 Courtway PL
Ballwin, MO 63011-2717
Phone (917) 821-2434

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": "1678924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1235830076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 COURTWAY PL",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112717",
            "telephone_number": "917-821-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 COURTWAY PL",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112717",
            "telephone_number": "917-821-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN-ROSALES",
        "first_name": "MARY",
        "middle_name": "CAROLINE",
        "credential": "FNTP, HEALTH COACH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballwin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.