Active NPI
Anne Pico
- Health & Wellness Coach
- Dallas, OR
National Provider Identifier
1649985896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Practice address
- 648 NW Hillcrest Dr
Dallas, OR 97338-1749 - Phone
- (435) 770-6868
- NPI assigned
- Jan 20, 2023
- Last updated
- Jan 20, 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 | NU | Primary |
Addresses
Primary practice location
648 NW Hillcrest Dr
Dallas, OR 97338-1749
Mailing address
648 NW Hillcrest Dr
Dallas, OR 97338-1749
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": "1674172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674172800000",
"number": "1649985896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "648 NW HILLCREST DR",
"city": "DALLAS",
"state": "OR",
"postal_code": "973381749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "648 NW HILLCREST DR",
"city": "DALLAS",
"state": "OR",
"postal_code": "973381749",
"telephone_number": "435-770-6868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICO",
"first_name": "ANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-20",
"last_updated": "2023-01-20",
"certification_date": "2023-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.