Madelyn Jayne Utrata, HEALTH COACH

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

1497 Olivewood Ave
Lakewood, OH 44107-4410

Phone

(216) 543-8311

NPI assigned

Dec 4, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512345600000",
    "number": "1669987483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1497 OLIVEWOOD AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 OLIVEWOOD AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074410",
            "telephone_number": "216-543-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTRATA",
        "first_name": "MADELYN",
        "middle_name": "JAYNE",
        "credential": "HEALTH COACH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Turek III
• Patricia Daniell Tyler, LPN
• Bukurije Ukshini, OTR/L
• Urban M. Picard DDS, Inc
• Urbanmotivators LLC
• Scott David Van Oosten, DC
• Molly Vanlerberghe, LMT
• Juie Michelle Vedaa
• Daniel Vilamaa
• Vincent J. O'Brien Jr. MD, Inc

• Health Educator in Lakewood, OH
• Providers in Lakewood, OH by specialty
• Health Educator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; 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.