Individual provider Active NPI

Jennifer Lynn Langenwalter, MPH, NBC-HWC, CHES

  • Health Educator
  • Yorba Linda, CA
National Provider Identifier
1669048815
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
License
33629 Issued in CA
Practice address
4682 Prospect LN
Yorba Linda, CA 92886-2155
Phone
(714) 904-8576
NPI assigned
May 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X 724866708 CA
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X 33629 CA Primary

Addresses

Primary practice location

4682 Prospect LN
Yorba Linda, CA 92886-2155

Mailing address

4682 Prospect LN
Yorba Linda, CA 92886-2155
Phone (714) 904-8576

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

State licenses

LicenseStateTypeSpecialty
724866708CAMDHealth & Wellness Coach
33629CAMDHealth Educator

NPI Registry JSON

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1669048815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4682 PROSPECT LN",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928862155",
            "telephone_number": "714-904-8576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4682 PROSPECT LN",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928862155",
            "telephone_number": "714-904-8576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGENWALTER",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "MPH, NBC-HWC, CHES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "CA",
            "license": "724866708",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": "CA",
            "license": "33629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.