Organization Active NPI

Vitiman Kandie Wellness Foundation

  • Health & Wellness Coach
  • Cleveland, OH
National Provider Identifier
1417894502
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Legal business name
VITIMAN KANDIE WELLNESS FOUNDATION
Practice address
7228 Euclid Ave
Cleveland, OH 44103-4018
Phone
(440) 373-7618
NPI assigned
Apr 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Authorized official

Name
Ms. Mary Johnson, CERTIFIED WELLNESSNPI 1588591770
Title
President
Phone
(216) 376-8392

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193400000X SINGLE SPECIALTY GROUP 171400000X Primary

Addresses

Primary practice location

7228 Euclid Ave
Cleveland, OH 44103-4018

Mailing address

7228 Euclid Ave
Cleveland, OH 44103-4018
Phone (440) 373-7618

Other practice location 1

12403 Superior Ave
Cleveland, OH 44106-1449
Phone (216) 703-8621

National Provider Directory

National Provider Directory

Locations

7228 Euclid Ave
Cleveland, OH 44103
Phone (440) 373-7618

12403 Superior Ave
Cleveland, OH 44106
Phone (216) 703-8621

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1777420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1417894502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7228 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441034018",
            "telephone_number": "440-373-7618",
            "fax_number": "440-373-7618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7228 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441034018",
            "telephone_number": "440-373-7618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12403 Superior Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441061449",
            "country_code": "US",
            "telephone_number": "216-703-8621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VITIMAN KANDIE WELLNESS FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-29",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-376-8392",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CERTIFIED WELLNESS"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.