Active NPI
Wrayln Watkins, CEP, EIM III, NBHWC
- Health & Wellness Coach
- Newport Beach, CA
National Provider Identifier
1598476590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- License
- A-3691502
- Practice address
- 500 Superior Ave Ste 200
Newport Beach, CA 92663-3659 - Phone
- (949) 629-2600
- Fax
- (949) 629-2601
- NPI assigned
- Dec 9, 2022
- Last updated
- Dec 9, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | A-3691502 | CA | Primary |
Addresses
Primary practice location
500 Superior Ave Ste 200
Newport Beach, CA 92663-3659
Mailing address
9534 Acklay Cir
Fountain Valley, CA 92708-5101
Phone (714) 552-8088
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | wrayln.watkins@hoag.org | Direct | Hoag Hospital |
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
| License | State | Type | Specialty |
|---|---|---|---|
| A-3691502 | CA | MD | Health & Wellness Coach |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670544000000",
"number": "1598476590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9534 ACKLAY CIR",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927085101",
"telephone_number": "714-552-8088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 SUPERIOR AVE STE 200",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633659",
"telephone_number": "949-629-2600",
"fax_number": "949-629-2601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATKINS",
"first_name": "WRAYLN",
"credential": "CEP, EIM III, NBHWC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-09",
"last_updated": "2022-12-09",
"certification_date": "2022-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "CA",
"license": "A-3691502",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "wrayln.watkins@hoag.org",
"affiliation": "Y",
"endpointDescription": "Hospital E-mail",
"affiliationName": "Hoag Hospital",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "500 Superior Ave Ste 200",
"city": "Newport Beach",
"state": "CA",
"country_code": "US",
"postal_code": "926633659",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.