Organization Active NPI

Nutritional Yoga Therapy

  • Health & Wellness Coach
  • Arlington, MA
National Provider Identifier
1447829833
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Legal business name
NUTRITIONAL YOGA THERAPY
Practice address
44 Hamlet St
Arlington, MA 02474-3226
Phone
(617) 913-0531
NPI assigned
Jun 21, 2021
Last updated
Jun 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Authorized official

Name
Ms. Susan Lyn Desmarais, HEALTH COAC
Title
Owner
Phone
(617) 913-0531

Specialties & licenses 1

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

Addresses

Primary practice location

44 Hamlet St
Arlington, MA 02474-3226

Mailing address

44 Hamlet St
Arlington, MA 02474-3226
Phone (617) 913-0531

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1447829833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 HAMLET ST",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024743226",
            "telephone_number": "617-913-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 HAMLET ST",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024743226",
            "telephone_number": "617-913-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITIONAL YOGA THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "DESMARAIS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-913-0531",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "HEALTH COAC"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.