Individual provider Active NPI

Jeania Evans

  • Health & Wellness Coach
  • Lincoln Park, MI
National Provider Identifier
1588328256
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Practice address
1187 Park Ave Apt 1
Lincoln Park, MI 48146-2685
Phone
(313) 422-5947
NPI assigned
Oct 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

1187 Park Ave Apt 1
Lincoln Park, MI 48146-2685

Mailing address

1187 Park Ave Apt 1
Lincoln Park, MI 48146-2685
Phone (313) 422-5947

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jeaniamarie@essenyiallyjm.org
Direct Messaging Address jeaniamarie@essenyiallyjm.org

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": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1588328256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 PARK AVE APT 1",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462685",
            "telephone_number": "313-422-5947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1187 PARK AVE APT 1",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462685",
            "telephone_number": "313-422-5947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JEANIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeaniamarie@essenyiallyjm.org",
            "affiliation": "N",
            "address_1": "1187 Park Ave Apt 1",
            "city": "Lincoln Park",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481462685",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeaniamarie@essenyiallyjm.org",
            "affiliation": "N",
            "address_1": "1187 Park Ave Apt 1",
            "city": "Lincoln Park",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481462685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.