Active NPI
Shonda Peterson
- Health & Wellness Coach
- Harper Woods, MI
National Provider Identifier
1396479309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Practice address
- 20251 Hunt Club Dr
Harper Woods, MI 48225-1761 - Phone
- (313) 465-3439
- NPI assigned
- Jul 14, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | MI | Primary |
Addresses
Primary practice location
20251 Hunt Club Dr
Harper Woods, MI 48225-1761
Mailing address
20251 Hunt Club Dr
Harper Woods, MI 48225-1761
Phone (313) 465-3439
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | comcast | Direct | |
| CONNECT URL | xfinity | 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shonda Peterson | Health & Wellness Coach | Current | 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": "1657756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699488000000",
"number": "1396479309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20251 HUNT CLUB DR",
"city": "HARPER WOODS",
"state": "MI",
"postal_code": "482251761",
"telephone_number": "313-465-3439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20251 HUNT CLUB DR",
"city": "HARPER WOODS",
"state": "MI",
"postal_code": "482251761",
"telephone_number": "313-465-3439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "SHONDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-14",
"last_updated": "2023-11-09",
"certification_date": "2023-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "comcast",
"affiliation": "N",
"endpointDescription": "office",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "20251 Hunt Club Dr",
"city": "Harper Woods",
"state": "MI",
"country_code": "US",
"postal_code": "482251761",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "xfinity",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "20251 Hunt Club Dr",
"city": "Harper Woods",
"state": "MI",
"country_code": "US",
"postal_code": "482251761",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Harper Woods, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.