Active NPI
Izabela Meducka
- Health & Wellness Coach
- Aurora, CO
National Provider Identifier
1669177952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- License
- HCI-CHC
- Practice address
- 6524 S Millbrook Way
Aurora, CO 80016-2460 - Phone
- (035) 235-4343
- NPI assigned
- Apr 4, 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 | HCI-CHC | ID | Primary |
Addresses
Primary practice location
6524 S Millbrook Way
Aurora, CO 80016-2460
Mailing address
6524 S Millbrook Way
Aurora, CO 80016-2460
Phone (035) 235-4343
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
| License | State | Type | Specialty |
|---|---|---|---|
| HCI-CHC | ID | MD | Health & Wellness Coach |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680566400000",
"number": "1669177952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6524 S MILLBROOK WAY",
"city": "AURORA",
"state": "CO",
"postal_code": "800162460",
"telephone_number": "035-235-4343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6524 S MILLBROOK WAY",
"city": "AURORA",
"state": "CO",
"postal_code": "800162460",
"telephone_number": "035-235-4343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDUCKA",
"first_name": "IZABELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-04",
"last_updated": "2023-04-04",
"certification_date": "2023-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": "ID",
"license": "HCI-CHC",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.