Stephanie Nelson, CTNC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

435 Foxbank Plantation Blvd
Moncks Corner, SC 29461-6718

Phone

(802) 522-2824

NPI assigned

May 28, 2022

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

Electronic endpoints 1

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": "1653696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653696000000",
    "number": "1609515659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 FOXBANK PLANTATION BLVD",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294616718",
            "telephone_number": "802-522-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 FOXBANK PLANTATION BLVD",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294616718",
            "telephone_number": "802-522-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "STEPHANIE",
        "credential": "CTNC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-28",
        "last_updated": "2022-05-28",
        "certification_date": "2022-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://mail.google.com/mail/u/3/#inbox",
            "affiliation": "N",
            "address_1": "435 Foxbank Plantation Blvd",
            "city": "Moncks Corner",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294616718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Health & Wellness Coach in Moncks Corner, SC
• Providers in Moncks Corner, SC by specialty
• Health & Wellness Coach in South Carolina

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