Individual provider Active NPI

Lisa Ann Dean, QMHA/WELLNESS COACH

  • Health & Wellness Coach
  • Bend, OR
National Provider Identifier
1639968662
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
License
999999 Issued in NU
Practice address
354 NE Greenwood Ave Ste 202
Bend, OR 97701-4632
Phone
(541) 668-7558
NPI assigned
May 5, 2025
Last updated
May 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X 999999 NU Primary

Addresses

Primary practice location

354 NE Greenwood Ave Ste 202
Bend, OR 97701-4632

Mailing address

1486 NW Quincy Ave Unit 2
Bend, OR 97703-1527
Phone (206) 953-3839

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": "1746403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1639968662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1486 NW QUINCY AVE UNIT 2",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977031527",
            "telephone_number": "206-953-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 NE GREENWOOD AVE STE 202",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014632",
            "telephone_number": "541-668-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "QMHA/WELLNESS COACH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": "999999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.