NPIMap

Organization Active NPI

One to One Health

  • Clinic/Center
  • Fort Wayne, IN
National Provider Identifier
1639953136
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ONE TO ONE HEALTH
Practice address
2101 E Coliseum Blvd
Fort Wayne, IN 46805-1445
Phone
(765) 494-0111
NPI assigned
Aug 24, 2023
Organization subpart
Yes
Parent organization
ONE TO ONE HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tara Denise Scott
Title
Implementation Manager
Phone
(423) 602-9530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2101 E Coliseum Blvd
Fort Wayne, IN 46805-1445

Mailing address

1110 Market St Ste 502
Chattanooga, TN 37402-3310
Phone (423) 602-9530

Other names 1

  • The Center for Healthy Living at Fort Wayne Doing business as

National Provider Directory

National Provider Directory
Tax ID family
One to One Health PLLC23 organizations share this tax ID, including this one
Part of
One to One Health PLLC

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Locations

2101 E Coliseum Blvd
Fort Wayne, IN 46805
Phone (260) 257-6831

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1639953136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 MARKET ST STE 502",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374023310",
            "telephone_number": "423-602-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 E COLISEUM BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468051445",
            "telephone_number": "765-494-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE TO ONE HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ONE TO ONE HEALTH",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "IMPLEMENTATION MANAGER",
        "authorized_official_telephone_number": "423-602-9530"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center for Healthy Living at Fort Wayne",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.