Active NPI
Glenna Emily James
- Health & Wellness Coach
- Bunker Hill, WV
National Provider Identifier
1639943673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Practice address
- 545 Hyslip Ford Rd
Bunker Hill, WV 25413-4030 - Phone
- (240) 310-9123
- NPI assigned
- Nov 9, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | |||
| Health & Wellness Coach | 171400000X | Primary |
Addresses
Primary practice location
545 Hyslip Ford Rd
Bunker Hill, WV 25413-4030
Mailing address
545 Hyslip Ford Rd
Bunker Hill, WV 25413-4030
Phone (240) 310-9123
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4279-14 | Other | CA | MADRIELLA DOULA CERTIFICATION |
| 4279-17 | Other | CA | MADRIELLA DOULA CERTIFICATION |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1639943673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 HYSLIP FORD RD",
"city": "BUNKER HILL",
"state": "WV",
"postal_code": "254134030",
"telephone_number": "240-310-9123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 HYSLIP FORD RD",
"city": "BUNKER HILL",
"state": "WV",
"postal_code": "254134030",
"telephone_number": "240-310-9123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "GLENNA",
"middle_name": "EMILY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-09",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MADRIELLA DOULA CERTIFICATION",
"identifier": "4279-14",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MADRIELLA DOULA CERTIFICATION",
"identifier": "4279-17",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bunker Hill, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.