Active NPI
Chanda D. Vaniman
- Health & Wellness Coach
- St George, UT
National Provider Identifier
1679202634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- License
- A-3518088
- Practice address
- 652 S Medical Center Dr Lowr Level
Saint George, UT 84790-7049 - Phone
- (435) 251-3793
- NPI assigned
- Jun 6, 2022
- Last updated
- Jun 6, 2022
- Sex
- Female
- Sole proprietor
- No
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 | A-3518088 | UT | Primary |
Addresses
Primary practice location
652 S Medical Center Dr Lowr Level
Saint George, UT 84790-7049
Mailing address
2075 S Sir Monte Dr Apt 60
St George, UT 84770-8819
Phone (177) 085-1435
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 |
|---|---|---|---|
| A-3518088 | UT | MD | Health & Wellness Coach |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654473600000",
"number": "1679202634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2075 S SIR MONTE DR APT 60",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847708819",
"telephone_number": "177-085-1435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "652 S MEDICAL CENTER DR LOWR LEVEL",
"city": "SAINT GEORGE",
"state": "UT",
"postal_code": "847907049",
"telephone_number": "435-251-3793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANIMAN",
"first_name": "CHANDA",
"middle_name": "D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-06",
"last_updated": "2022-06-06",
"certification_date": "2022-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "UT",
"license": "A-3518088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.