Active NPI
Healthy U Academy, LLC
- Family Medicine Physician
- Alliance, OH
National Provider Identifier
1629592175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35077014G
- Legal business name
- HEALTHY U ACADEMY, LLC
- Practice address
- 2484 W State St
Alliance, OH 44601-5608 - Phone
- (330) 557-1086
- Fax
- (330) 654-9086
- NPI assigned
- Jul 26, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kim Myers
- Title
- Office Manager
- Phone
- (330) 654-1181
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35077014G | OH | Primary |
Addresses
Primary practice location
2484 W State St
Alliance, OH 44601-5608
Mailing address
6384 Hollyridge St NW
North Canton, OH 44720-9402
Phone (330) 802-2281
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR4052321 | Other | OH | MEDICAID ID TYPE UNSPECIFIED |
| 2256311 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
1226 Market Ave N
Canton, OH 44714
Phone (330) 456-8592
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Alliance, OH
- NPI 1336122175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783728000000",
"number": "1629592175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6384 HOLLYRIDGE ST NW",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447209402",
"telephone_number": "330-802-2281",
"fax_number": "330-654-9086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2484 W STATE ST",
"city": "ALLIANCE",
"state": "OH",
"postal_code": "446015608",
"telephone_number": "330-557-1086",
"fax_number": "330-654-9086"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHY U ACADEMY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-26",
"last_updated": "2026-07-11",
"certification_date": "2026-07-11",
"status": "A",
"authorized_official_last_name": "MYERS",
"authorized_official_first_name": "KIM",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "330-654-1181"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "OH",
"license": "35077014G",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID ID TYPE UNSPECIFIED",
"identifier": "GR4052321",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2256311",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alliance, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.