Active NPI
Christie Jane Stoudt, RCYATH
- Health & Wellness Coach
- Aberdeen, SD
National Provider Identifier
1497445324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Practice address
- 614 S Main St Ste 1
Aberdeen, SD 57401-9407 - Phone
- (605) 626-1509
- NPI assigned
- May 12, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | |||
| Health & Wellness Coach | 171400000X | Primary |
Addresses
Primary practice location
614 S Main St Ste 1
Aberdeen, SD 57401-9407
Mailing address
614 S Main St Ste 1
Aberdeen, SD 57401-9407
Phone (605) 626-1509
Other names 1
- Christie Jane Henson
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683849600000",
"number": "1497445324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "614 S MAIN ST STE 1",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "574019407",
"telephone_number": "605-626-1509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "614 S MAIN ST STE 1",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "574019407",
"telephone_number": "605-626-1509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOUDT",
"first_name": "CHRISTIE",
"middle_name": "JANE",
"credential": "RCYATH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-12",
"last_updated": "2023-05-12",
"certification_date": "2023-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTIE",
"last_name": "HENSON",
"middle_name": "JANE",
"credential": "RCYATH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Aberdeen, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.