Individual provider Active NPI

Phaedra Hughes, NBC-HWC

  • Health & Wellness Coach
  • St Augustine, FL
National Provider Identifier
1518859891
Registry record updated Jul 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Practice address
291 N Hidden Tree Dr
Saint Augustine, FL 32086-5228
Phone
(904) 525-4050
NPI assigned
Jul 19, 2025
Last updated
Jul 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2025

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 NU Primary

Addresses

Primary practice location

291 N Hidden Tree Dr
Saint Augustine, FL 32086-5228

Mailing address

291 N Hidden Tree Dr
Saint Augustine, FL 32086-5228
Phone (904) 525-4050

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": "1752883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752883200000",
    "number": "1518859891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 N HIDDEN TREE DR",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865228",
            "telephone_number": "904-525-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 N HIDDEN TREE DR",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865228",
            "telephone_number": "904-525-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "PHAEDRA",
        "credential": "NBC-HWC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-19",
        "last_updated": "2025-07-19",
        "certification_date": "2025-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2025; 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.