Active NPI
Jessica Willis-Ridgeway
- Health & Wellness Coach
- Ridgeland, MS
National Provider Identifier
1275810400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Practice address
- 731 S Pear Orchard Rd Ste 8
Ridgeland, MS 39157-4800 - Phone
- (601) 473-1950
- NPI assigned
- Nov 16, 2011
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Health & Wellness Coach | 171400000X | Primary | ||
| Health Educator | 174H00000X | |||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
731 S Pear Orchard Rd Ste 8
Ridgeland, MS 39157-4800
Mailing address
731 S Pear Orchard Rd Ste 8
Ridgeland, MS 39157-4800
Phone (601) 473-1950
Other names 1
- Mrs. Jessica Willis-Ridgeway
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": "1321401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729728000000",
"number": "1275810400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "731 S PEAR ORCHARD RD STE 8",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391574800",
"telephone_number": "601-473-1950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 S PEAR ORCHARD RD STE 8",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391574800",
"telephone_number": "601-473-1950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIS-RIDGEWAY",
"first_name": "JESSICA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-16",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": true
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "WILLIS-RIDGEWAY",
"prefix": "MRS.",
"credential": "JESSICA RIDGEWAY",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Ridgeland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.