Ruchelle L Jackson-Williams

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

40600 Ann Arbor Rd E Ste 201
Plymouth, MI 48170-4675

Phone

(240) 498-9639

NPI assigned

Apr 24, 2024

Last updated

Apr 24, 2024By the provider in NPPES

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

Other names 1

• Miss Ruchelle L Jackson Former name

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": "1713916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1275389884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22149 CHATSFORD CIRCUIT ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480346238",
            "telephone_number": "240-498-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40600 ANN ARBOR RD E STE 201",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704675",
            "telephone_number": "240-498-9639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON-WILLIAMS",
        "first_name": "RUCHELLE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUCHELLE",
            "last_name": "JACKSON",
            "middle_name": "L",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristina Iwai
• Preetha Janaky Iyengar, MD
• Ja and S Inc. (Comfort Keepers)
• Florante Jacinto, RPT
• Geralyn L Jackson Pearson, OTRL
• Jessica Jackson
• Jewel Jackson, RN
• Leonard Jackson
• Reganae Jackson
• Shernette Jackson

• Health & Wellness Coach in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Health & Wellness Coach in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.