Individual provider Active NPI

Davida Bostic

  • Health & Wellness Coach
  • Daytona Beach, FL
National Provider Identifier
1669892220
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Practice address
1500 Beville Rd Ste 606-382
Daytona Beach, FL 32114-5646
Phone
(786) 641-9987
NPI assigned
Apr 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X Primary
Chore Provider 372500000X
Adult Companion 372600000X
Home Health Aide 374U00000X
Nurse's Aide 376K00000X

Addresses

Primary practice location

1500 Beville Rd Ste 606-382
Daytona Beach, FL 32114-5646

Mailing address

6023 NW 22ND Ave Ste 2
Miami, FL 33142-7805
Phone (786) 641-9987

Other practice location 1

6023 NW 22nd Ave
Miami, FL 33142-7805
Phone (786) 641-9987

Other practice location 2

2130 Fairways Ct NW
Kennesaw, GA 30144-2094
Phone (786) 641-9987

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eyneya Health & Wellness LLC Health & Wellness Coach CurrentSince May 12, 2024 Accepting new patients
Mai Health Care Solutions Inc. Health & Wellness Coach PastSince May 12, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1669892220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6023 NW 22ND AVE STE 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331427805",
            "telephone_number": "786-641-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 BEVILLE RD STE 606-382",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321145646",
            "telephone_number": "786-641-9987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6023 NW 22nd Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331427805",
            "country_code": "US",
            "telephone_number": "786-641-9987",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2130 Fairways Ct NW",
            "address_purpose": "LOCATION",
            "city": "Kennesaw",
            "state": "GA",
            "postal_code": "301442094",
            "country_code": "US",
            "telephone_number": "786-641-9987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSTIC",
        "first_name": "DAVIDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-22",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.