Individual provider Active NPI

Alisha Lynn Delgado, NBHWC

  • Health & Wellness Coach
  • Brunswick, GA
National Provider Identifier
1508449125
Registry record updated May 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Practice address
430 Walden Shores LN
Brunswick, GA 31525-4678
Phone
(912) 248-1012
NPI assigned
May 2, 2021
Last updated
May 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2021

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 Primary

Addresses

Primary practice location

430 Walden Shores LN
Brunswick, GA 31525-4678

Mailing address

430 Walden Shores LN # 82
Brunswick, GA 31525-4678
Phone (912) 248-1012

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Brunswick

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": "1619913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619913600000",
    "number": "1508449125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 WALDEN SHORES LN # 82",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315254678",
            "telephone_number": "912-248-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 WALDEN SHORES LN",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315254678",
            "telephone_number": "912-248-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "ALISHA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "NBHWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-02",
        "last_updated": "2021-05-02",
        "certification_date": "2021-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Brunswick",
            "affiliation": "N",
            "address_1": "430 Walden Shores Ln",
            "city": "Brunswick",
            "state": "GA",
            "country_code": "US",
            "postal_code": "315254678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.