Keep Evolving Wellness

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

KEEP EVOLVING WELLNESS

Practice address

130 Main St
Rancocas, NJ 08073-8031

Phone

(609) 200-5933

NPI assigned

Jul 14, 2023

Last updated

Jul 14, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michelle Hall-Boggan, LSWNPI 1538915178

Title

Owner

Phone

(609) 200-5933

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Hall-Boggan, LCSW

  • Clinical Social Worker
  • Willingboro, NJ
  • NPI 1538915178

  Single Specialty

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1558040634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MAIN ST",
            "city": "RANCOCAS",
            "state": "NJ",
            "postal_code": "080738031",
            "telephone_number": "609-200-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MAIN ST",
            "city": "RANCOCAS",
            "state": "NJ",
            "postal_code": "080738031",
            "telephone_number": "609-200-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEEP EVOLVING WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "HALL-BOGGAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-200-5933",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lovepreet Kaur Kaila

• Health & Wellness Coach in Rancocas, NJ
• Providers in Rancocas, NJ by specialty
• Health & Wellness Coach in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.