Active NPI
Davida Bostic
- Health & Wellness Coach
- Daytona Beach, FL
National Provider Identifier
1669892220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyneya Health & Wellness LLC | Health & Wellness Coach | Current | Accepting new patients |
| Mai Health Care Solutions Inc. | Health & Wellness Coach | Past | 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.
-
- Home Delivered Meals
- Kennesaw, GA
- NPI 1013765635
Health & Wellness Coach
-
- Home Health Agency
- Kennesaw, GA
- NPI 1356199962
Health & Wellness Coach
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.