NPIMap

Organization Active NPI

Noble Path Wellness, LLC

  • Case Manager/Care Coordinator
  • Lacey, WA
National Provider Identifier
1568991271
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
NOBLE PATH WELLNESS, LLC
Practice address
677 Woodland Square Loop SE Ste D5
Lacey, WA 98503-1000
Phone
(888) 775-1589
NPI assigned
Jun 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Evan B Johnson, MPA, CHC
Title
Managing Owner / Health Coach
Phone
(888) 775-1589

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

677 Woodland Square Loop SE Ste D5
Lacey, WA 98503-1000

Mailing address

677 Woodland Square Loop SE Ste D5
Lacey, WA 98503-1000
Phone (888) 775-1589

Other names 1

  • Noble Path Coaching Doing business as

National Provider Directory

National Provider Directory

Locations

677 Woodland Square Loop SE
Ste D5
Lacey, WA 98503
Phone (888) 775-1589

NPI Registry JSON

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1568991271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 WOODLAND SQUARE LOOP SE STE D5",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031000",
            "telephone_number": "888-775-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 WOODLAND SQUARE LOOP SE STE D5",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031000",
            "telephone_number": "888-775-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE PATH WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGING OWNER / HEALTH COACH",
        "authorized_official_telephone_number": "888-775-1589",
        "authorized_official_credential": "MPA, CHC"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Noble Path Coaching",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Noble Path Coaching",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.