Individual provider Active NPI

Michelle Suzette Geffken Rubino, LIFE COACH

  • Health & Wellness Coach
  • Sparta, NJ
National Provider Identifier
1538849690
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Practice address
16 Main St Apt D5
Sparta, NJ 07871-1958
Phone
(973) 600-2463
NPI assigned
Jul 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

16 Main St Apt D5
Sparta, NJ 07871-1958

Mailing address

253 Andover Sparta Rd
Andover, NJ 07821-5018
Phone (973) 600-2463

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": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1538849690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 ANDOVER SPARTA RD",
            "city": "ANDOVER",
            "state": "NJ",
            "postal_code": "078215018",
            "telephone_number": "973-600-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MAIN ST APT D5",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711958",
            "telephone_number": "973-600-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEFFKEN RUBINO",
        "first_name": "MICHELLE",
        "middle_name": "SUZETTE",
        "credential": "LIFE COACH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.

Verify at the official NPI Registry.