Active NPI
Lakeisha Coach
- Health Educator
- Atlanta, GA
National Provider Identifier
1679372387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 1800 Phoenix Blvd
210
Atlanta, GA 30349-5557 - Phone
- (678) 705-3814
- Fax
- (404) 758-1152
- NPI assigned
- Mar 13, 2025
- 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 Educator | 174H00000X | Primary |
Addresses
Primary practice location
1800 Phoenix Blvd
210
Atlanta, GA 30349-5557
Mailing address
1800 Phoenix Blvd Ste 210
Atlanta, GA 30349-5557
Phone (404) 901-0679
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1679372387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 PHOENIX BLVD STE 210",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303495557",
"telephone_number": "404-901-0679",
"fax_number": "404-901-0679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 PHOENIX BLVD",
"address_2": "210",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303495557",
"telephone_number": "678-705-3814",
"fax_number": "404-758-1152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COACH",
"first_name": "LAKEISHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-13",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.