Deborrah Caroline Cisneros, HEALTH&WELLNESSCOACH

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

License

270559322 Issued in CA

Practice address

17298 Womble Mill Rd
Zuni, VA 23898-3543

Phone

(912) 441-6288

NPI assigned

Mar 10, 2020

Last updated

Jul 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1447885405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 AMERICAS WAY PMB18056",
            "city": "BOX ELDER",
            "state": "SD",
            "postal_code": "57719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17298 WOMBLE MILL RD",
            "city": "ZUNI",
            "state": "VA",
            "postal_code": "238983543",
            "telephone_number": "912-441-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISNEROS",
        "first_name": "DEBORRAH",
        "middle_name": "CAROLINE",
        "name_prefix": "Mrs.",
        "credential": "HEALTH&WELLNESSCOACH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "GA",
            "license": "RN165950",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "CA",
            "license": "270559322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destin Pathways, LLC
• Barbara Eley
• Evangeline Eley
• Shonda Latrese Townsend
• Western Tidewater Community Services Board (The Neighbour's Place ICF/IID)

• Health & Wellness Coach in Zuni, VA
• Providers in Zuni, VA by specialty
• Health & Wellness Coach in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.