Active NPI
4M Life LLC
- Health & Wellness Coach
- Upper Arlington, OH
National Provider Identifier
1477201010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Legal business name
- 4M LIFE LLC
- Practice address
- 2025 Riverside Dr Ste 408
Upper Arlington, OH 43221-4012 - Phone
- (614) 881-1828
- Fax
- (614) 881-1792
- NPI assigned
- Mar 14, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sarah Bonza, MD
- Title
- Owner
- Phone
- (614) 881-1828
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | Primary | ||
| Family Medicine Physician | 207Q00000X |
Addresses
Primary practice location
2025 Riverside Dr Ste 408
Upper Arlington, OH 43221-4012
Mailing address
2025 Riverside Dr Ste 408
Upper Arlington, OH 43221-4012
Phone (614) 881-1828
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | WellcoachesEHR | Other |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647216000000",
"number": "1477201010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 RIVERSIDE DR STE 408",
"city": "UPPER ARLINGTON",
"state": "OH",
"postal_code": "432214012",
"telephone_number": "614-881-1828",
"fax_number": "614-881-1792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 RIVERSIDE DR STE 408",
"city": "UPPER ARLINGTON",
"state": "OH",
"postal_code": "432214012",
"telephone_number": "614-881-1828",
"fax_number": "614-881-1792"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "4M LIFE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-14",
"last_updated": "2022-03-14",
"certification_date": "2022-03-14",
"status": "A",
"authorized_official_last_name": "BONZA",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "614-881-1828",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "WellcoachesEHR",
"affiliation": "N",
"endpointDescription": "EHR",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Cloud-Based",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2025 Riverside Dr Ste 408",
"city": "Upper Arlington",
"state": "OH",
"country_code": "US",
"postal_code": "432214012",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Upper Arlington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.