Jordan T Ciambrone, NBC-HWC
Individual provider Active NPI Health & Wellness Coach · Manitou Springs, CO
NPI 1639837735 · NPPES record last updated Dec 6, 2021
Key facts
- NPI
- 1639837735
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health & Wellness Coach 171400000X
- License
- A-3275713 (CO)
- Practice address
- 30 Lincoln Ave Uppr
Manitou Springs, CO 80829-1882 - Phone
- (602) 315-6744
- NPI assigned
- Dec 6, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-3275713 | CO | MD | Health & Wellness Coach |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | A-3275713 | CO | Yes |
Addresses
Primary practice location
30 Lincoln Ave Uppr
Manitou Springs, CO 80829-1882
Mailing address
30 Lincoln Ave Uppr
Manitou Springs, CO 80829-1882
Phone (602) 315-6744
Other providers in Manitou Springs, CO
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- Cheyenne Village, Inc.
- Cheyenne Village, Inc.
- Faith A Christensen
- City of Manitou Springs
- Natalia Correa-Pulido
- County of El Paso School District 14
- Andrea May Craft
- Cavan A Daly-McGrew
All providers in Manitou Springs, CO · Health & Wellness Coach in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.