Active NPI
Latoya Hardin
- Health & Wellness Coach
- Wake Forest, NC
National Provider Identifier
1396501680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- License
- BCC5300
- Practice address
- 1504 Lindenberg SQ
Wake Forest, NC 27587-5259 - Phone
- (757) 617-4793
- NPI assigned
- Feb 23, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | |||
| Peer Specialist | 175T00000X | |||
| Health & Wellness Coach | 171400000X | BCC5300 | NC | Primary |
Addresses
Primary practice location
1504 Lindenberg SQ
Wake Forest, NC 27587-5259
Mailing address
1504 Lindenberg SQ
Wake Forest, NC 27587-5259
Phone (757) 617-4793
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
| License | State | Type | Specialty |
|---|---|---|---|
| BCC5300 | NC | MD | Health & Wellness Coach |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708646400000",
"number": "1396501680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1504 LINDENBERG SQ",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275875259",
"telephone_number": "757-617-4793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1504 LINDENBERG SQ",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275875259",
"telephone_number": "757-617-4793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDIN",
"first_name": "LATOYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-23",
"last_updated": "2024-02-23",
"certification_date": "2024-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "NC",
"license": "BCC5300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wake Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.