Organization Active NPI

Healthy U Academy, LLC

  • Family Medicine Physician
  • Alliance, OH
National Provider Identifier
1629592175
Registry record updated Jul 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35077014G Issued in OH
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

Updated by the provider on Jul 11, 2026

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
GR4052321OtherOHMEDICAID ID TYPE UNSPECIFIED
2256311MedicaidOH

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.