Individual provider Active NPI

Wrayln Watkins, CEP, EIM III, NBHWC

  • Health & Wellness Coach
  • Newport Beach, CA
National Provider Identifier
1598476590
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
License
A-3691502 Issued in CA
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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 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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
A-3691502CAMDHealth & 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.

Verify at the official NPI Registry.