Individual provider Active NPI

Jonathan Charles Ramos Lu, DBH, MCHES, ACE-CHC

  • Health Educator
  • Yelm, WA
National Provider Identifier
1336911213
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Practice address
18522 Bald Hill Rd SE
Yelm, WA 98597-7969
Phone
(253) 441-8805
NPI assigned
Oct 24, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X
Health Educator 174H00000X Primary
Military Health Care Provider 171000000X
Health & Wellness Coach 171400000X
Peer Specialist 175T00000X APS.004984 OH

Addresses

Primary practice location

18522 Bald Hill Rd SE
Yelm, WA 98597-7969

Mailing address

1795 Sugar Run TRL
Bellbrook, OH 45305-1149
Phone (253) 441-8805

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

State licenses

LicenseStateTypeSpecialty
APS.004984OHMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hardhat Wellness LLC Health & Wellness Coach CurrentSince Mar 24, 2024 Accepting new patients

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": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1336911213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 SUGAR RUN TRL",
            "city": "BELLBROOK",
            "state": "OH",
            "postal_code": "453051149",
            "telephone_number": "253-441-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18522 BALD HILL RD SE",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985977969",
            "telephone_number": "253-441-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "JONATHAN",
        "middle_name": "CHARLES RAMOS",
        "name_prefix": "Dr.",
        "credential": "DBH, MCHES, ACE-CHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-24",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.004984",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yelm, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.