Individual provider Active NPI

Joseph Mouton

  • Health & Wellness Coach
  • Bellaire, TX
National Provider Identifier
1336858984
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Practice address
4950 Terminal St Ste 900
Bellaire, TX 77401-6013
Phone
(346) 291-8302
NPI assigned
Nov 22, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 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 TX Primary

Addresses

Primary practice location

4950 Terminal St Ste 900
Bellaire, TX 77401-6013

Mailing address

1114 Brenford Dr
Houston, TX 77047-2002
Phone (713) 516-1249

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jmoutonfitness@gmail.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": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1336858984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 BRENFORD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770472002",
            "telephone_number": "713-516-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 TERMINAL ST STE 900",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774016013",
            "telephone_number": "346-291-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUTON",
        "first_name": "JOSEPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jmoutonfitness@gmail.com",
            "affiliation": "N",
            "endpointDescription": "jmoutonfitness@gmail.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jmoutonfitness@gmail.com",
            "address_1": "4950 Terminal St Ste 900",
            "city": "Bellaire",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774016013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.