Individual provider Active NPI

Belinda Bassey Ephraim

  • Health & Wellness Coach
  • Chicago, IL
National Provider Identifier
1326768680
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Practice address
900 N Michigan Ave FL 5
Chicago, IL 60611-1542
Phone
(312) 380-9441
NPI assigned
Aug 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X Primary

Addresses

Primary practice location

900 N Michigan Ave FL 5
Chicago, IL 60611-1542

Mailing address

900 N Michigan Ave FL 5
Chicago, IL 60611-1542
Phone (312) 380-9441

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://kokoberna.practicebetter.io/ Direct Green Patch, Inc.

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kokoberna, Inc. Health & Wellness Coach CurrentSince Sep 20, 2022 Accepting new patients

Locations

900 N Michigan Ave
Fl 5
Chicago, IL 60611
Phone (312) 380-9441

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1326768680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N MICHIGAN AVE FL 5",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606111542",
            "telephone_number": "312-380-9441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N MICHIGAN AVE FL 5",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606111542",
            "telephone_number": "312-380-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSEY EPHRAIM",
        "first_name": "BELINDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://kokoberna.practicebetter.io/",
            "affiliation": "Y",
            "endpointDescription": "Client Portal Link",
            "affiliationName": "Green Patch, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Application",
            "address_1": "900 N Michigan Ave Fl 5",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606111542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.