Organization Active NPI

Activa Health

  • Obesity Medicine (Preventive Medicine) Physician
  • Elkhart, IN
National Provider Identifier
1417800129
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Preventive Medicine) PhysicianTaxonomy code 2083B0002X
Legal business name
ACTIVA HEALTH
Practice address
234 Waterfall Dr Ste C
Elkhart, IN 46516-3683
Phone
(574) 307-5502
Fax
(866) 598-4540
NPI assigned
Feb 20, 2026
Last updated
Feb 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Authorized official

Name
Talhia Yajaira Juarez-Aguilar, DNPNPI 1922668722
Title
Owner/Ceo
Phone
(574) 307-5502

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
Obesity Medicine (Preventive Medicine) Physician 2083B0002X NU Primary

Addresses

Primary practice location

234 Waterfall Dr Ste C
Elkhart, IN 46516-3683

Mailing address

234 Waterfall Dr Ste C
Elkhart, IN 46516-3683
Phone (574) 307-5502

National Provider Directory

National Provider Directory

Locations

234 Waterfall Dr
Ste C
Elkhart, IN 46516
Phone (574) 237-9217

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1771545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1417800129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 WATERFALL DR STE C",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465163683",
            "telephone_number": "574-307-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 WATERFALL DR STE C",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465163683",
            "telephone_number": "574-307-5502",
            "fax_number": "866-598-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVA HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-20",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "JUAREZ-AGUILAR",
        "authorized_official_first_name": "TALHIA",
        "authorized_official_middle_name": "YAJAIRA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "574-307-5502",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.