Petra D. Hawes-Glenesk, NBC-HWC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

874 57TH St
Sacramento, CA 95819-3327

Phone

(916) 870-0846

NPI assigned

Apr 7, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1598344384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4596 ECHO SPRINGS CIR",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957627605",
            "telephone_number": "916-870-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "874 57TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193327",
            "telephone_number": "916-870-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWES-GLENESK",
        "first_name": "PETRA",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "NBC-HWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haven-Refuge for Pregnancy and Birth
• Jennifer Havens Coe
• Carol S. Havens, MD
• Havenwound Care Company, LLC
• Erica Havey, BSN,RN, PHN
• Lonal Hawes Jr.
• Brandi Hawk, PH.D.
• Brandon O Hawk
• Mark W. Hawk, MD
• Ann Mushlitz Hawken, SUDCC-II-CS,ICADC-II

• Health & Wellness Coach in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Health & Wellness Coach in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.