Rene Denice Edghill-Smith, LIFE COACH MP

Primary specialty

ContractorTaxonomy code 171W00000X

License

00304169 Issued in NJ

Practice address

6120 Wheeler Ridge Rd
Auburn, GA 30011-3474

Phone

(908) 265-0299

NPI assigned

Apr 11, 2022

Last updated

Apr 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1437891389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 WHEELER RIDGE RD",
            "city": "AUBURN",
            "state": "GA",
            "postal_code": "300113474",
            "telephone_number": "908-265-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 WHEELER RIDGE RD",
            "city": "AUBURN",
            "state": "GA",
            "postal_code": "300113474",
            "telephone_number": "908-265-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGHILL-SMITH",
        "first_name": "RENE",
        "middle_name": "DENICE",
        "credential": "LIFE COACH MP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NJ",
            "license": "00304169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jandalea Crawford
• Desiree Delrio Daley-Wint, DNP
• Farida Baloch Daniels, FNP-C
• Ashley N Davis
• Marquita Latisha Davis, PMHNP-BC
• Zakiah El-Haqq, NP
• Danielle Renee Ellis, ATC
• Michelle Excellent
• Niare Feaster
• Andrew Fellows, RPH

• Contractor in Auburn, GA
• Providers in Auburn, GA by specialty
• Contractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.