Organization Active NPI

Magnolia Medical Marketing Dba Magnolia Wellness

  • Health & Wellness Coach
  • New Bern, NC
National Provider Identifier
1659135739
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Legal business name
MAGNOLIA MEDICAL MARKETING DBA MAGNOLIA WELLNESS
Practice address
108 Market St
New Bern, NC 28560-6704
Phone
(252) 283-8172
Fax
(252) 283-8174
NPI assigned
Feb 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Authorized official

Name
Carrie Ness Sullivan
Title
Clinic Manager
Phone
(252) 283-8172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X Primary

Addresses

Primary practice location

108 Market St
New Bern, NC 28560-6704

Mailing address

153 Tupelo TRL
New Bern, NC 28562-3673
Phone (252) 283-8172

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1659135739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 TUPELO TRL",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285623673",
            "telephone_number": "252-283-8172",
            "fax_number": "252-283-8174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 MARKET ST",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285606704",
            "telephone_number": "252-283-8172",
            "fax_number": "252-283-8174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA MEDICAL MARKETING DBA MAGNOLIA WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "NESS",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "252-283-8172"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.

Verify at the official NPI Registry.