Active NPI
Tanishia Neal, NBHWC, RN
- Health & Wellness Coach
- Orlando, FL
National Provider Identifier
1639958317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- License
- A-3772154
- Practice address
- 11663 Savona Way
Orlando, FL 32827-7241 - Phone
- (734) 629-7737
- NPI assigned
- Sep 22, 2023
- Last updated
- Sep 22, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | A-3772154 | CA | Primary |
Addresses
Primary practice location
11663 Savona Way
Orlando, FL 32827-7241
Mailing address
11663 Savona Way
Orlando, FL 32827-7241
Phone (734) 629-7737
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-3772154 | CA | MD | Health & Wellness Coach |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695340800000",
"number": "1639958317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11663 SAVONA WAY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277241",
"telephone_number": "734-629-7737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11663 SAVONA WAY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277241",
"telephone_number": "734-629-7737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEAL",
"first_name": "TANISHIA",
"credential": "NBHWC, RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-22",
"last_updated": "2023-09-22",
"certification_date": "2023-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "CA",
"license": "A-3772154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
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- James Eric Neal, MD
- Emily Jane Neale Doyle, LMT
- Seth McCormick Neale, APRN
- Andreina Giulliana Neall, APRN
- Veronica Nealy-Morris, CRTT
- Demetria Nealy, HOMEMAKER
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.