Individual provider Active NPI

Nina Margarita Raffaele, NBHWC CERTIFICATION

  • Health & Wellness Coach
  • Harwich Port, MA
National Provider Identifier
1568240950
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
License
A-3696041 Issued in MA
Practice address
371 Route 28 Apt 15
Harwich Port, MA 02646-1629
Phone
(774) 768-3087
NPI assigned
Sep 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 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 CoachGroup: 193400000X SINGLE SPECIALTY GROUP 171400000X A-3696041 MA Primary

Addresses

Primary practice location

371 Route 28 Apt 15
Harwich Port, MA 02646-1629

Mailing address

371 Route 28 Apt 15
Harwich Port, MA 02646-1629
Phone (774) 408-8689

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

State licenses

LicenseStateTypeSpecialty
A-3696041MAMDHealth & Wellness Coach

NPI Registry JSON

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1568240950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 ROUTE 28 APT 15",
            "city": "HARWICH PORT",
            "state": "MA",
            "postal_code": "026461629",
            "telephone_number": "774-408-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 ROUTE 28 APT 15",
            "city": "HARWICH PORT",
            "state": "MA",
            "postal_code": "026461629",
            "telephone_number": "774-768-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFFAELE",
        "first_name": "NINA",
        "middle_name": "MARGARITA",
        "credential": "NBHWC CERTIFICATION",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health & Wellness Coach",
            "state": "MA",
            "license": "A-3696041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harwich Port, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.