Michele Antonelli, HEALTH COACH

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

1711 Oldfield Way
Santa Rosa, CA 95401-8432

Phone

(559) 281-7175

NPI assigned

Nov 21, 2021

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1637452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637452800000",
    "number": "1255098547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 OLDFIELD WAY",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954018432",
            "telephone_number": "559-281-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 OLDFIELD WAY",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954018432",
            "telephone_number": "559-281-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONELLI",
        "first_name": "MICHELE",
        "name_prefix": "Ms.",
        "credential": "HEALTH COACH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-21",
        "last_updated": "2021-11-21",
        "certification_date": "2021-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health & Wellness Coach",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annadel Medical Group
• Annadel Medical Group, Inc
• Anova Education and Behavior Consultation, Inc.
• Olga Antipova
• Nicholas Harreld Anton, MD
• Diana E Antonio
• Marina Antonova
• Betsabe Montserrat Aparicio Medina
• Jennifer Apocotos-Kirk, RDH,MA
• Donald Theodore Apostle, MD

• Health & Wellness Coach in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Health & Wellness Coach in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.