Individual provider Active NPI

Erin Lindsay Traudt, NBC-HWC

  • Health & Wellness Coach
  • Ketchikan, AK
National Provider Identifier
1457073173
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
License
2090111 Issued in AK
Practice address
138 W Mattle Rd
Ketchikan, AK 99901-9455
Phone
(907) 821-1322
NPI assigned
Sep 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 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 2090111 AK Primary

Addresses

Primary practice location

138 W Mattle Rd
Ketchikan, AK 99901-9455

Mailing address

PO Box 5634
Ketchikan, AK 99901-0634
Phone (907) 821-1322

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

State licenses

LicenseStateTypeSpecialty
2090111AKMDHealth & Wellness Coach

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1457073173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5634",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999010634",
            "telephone_number": "907-821-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 W MATTLE RD",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999019455",
            "telephone_number": "907-821-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAUDT",
        "first_name": "ERIN",
        "middle_name": "LINDSAY",
        "credential": "NBC-HWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "AK",
            "license": "2090111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ketchikan, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.