Individual provider Active NPI

Penelope M Kraniotakis

  • Health & Wellness Coach
  • Brooklyn, NY
National Provider Identifier
1295305589
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Practice address
196 Scholes St Apt 3B
Brooklyn, NY 11206-7809
Phone
(917) 683-2619
NPI assigned
Jun 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X MA
Health & Wellness Coach 171400000X NY Primary

Addresses

Primary practice location

196 Scholes St Apt 3B
Brooklyn, NY 11206-7809

Mailing address

196 Scholes St Apt 3B
Brooklyn, NY 11206-7809
Phone (917) 683-2619

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address penelopek@holisticwellnessfairy.com Direct

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": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1295305589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 SCHOLES ST APT 3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112067809",
            "telephone_number": "917-683-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 SCHOLES ST APT 3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112067809",
            "telephone_number": "917-683-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRANIOTAKIS",
        "first_name": "PENELOPE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "penelopek@holisticwellnessfairy.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "196 Scholes St Apt 3B",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112067809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.