Individual provider Active NPI

Deondra Jayneen Daniel, MPH

  • Health & Wellness Coach
  • Fort Washington, MD
National Provider Identifier
1437874690
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Practice address
3206 Radford LN
Fort Washington, MD 20744-1770
Phone
(240) 551-9157
NPI assigned
Oct 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X Primary

Addresses

Primary practice location

3206 Radford LN
Fort Washington, MD 20744-1770

Mailing address

3206 Radford LN
Fort Washington, MD 20744-1770
Phone (240) 551-9157

Other practice location 1

14120 W Side Blvd Apt 310
Laurel, MD 20707-6219
Phone (240) 551-9157

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

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1437874690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 RADFORD LN",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207441770",
            "telephone_number": "240-551-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3206 RADFORD LN",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207441770",
            "telephone_number": "240-551-9157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14120 W Side Blvd Apt 310",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207076219",
            "country_code": "US",
            "telephone_number": "240-551-9157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "DEONDRA",
        "middle_name": "JAYNEEN",
        "name_prefix": "Mrs.",
        "credential": "MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.