Individual provider Active NPI

Debra L Woodlief, RN BSN NC-BC

  • Health & Wellness Coach
  • McHenry, IL
National Provider Identifier
1689342529
Registry record updated Sep 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
License
041.381867 Issued in IL
Practice address
1320 W Wauconda Rd
McHenry, IL 60051-8064
Phone
(815) 790-8809
Fax
(815) 349-4721
NPI assigned
Sep 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X 041.381867 IL Primary

Addresses

Primary practice location

1320 W Wauconda Rd
McHenry, IL 60051-8064

Mailing address

1320 W Wauconda Rd
McHenry, IL 60051-8064
Phone (815) 790-8809

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL McHenry Direct

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
041.381867ILMDHealth & Wellness Coach

NPI Registry JSON

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

{
    "created_epoch": "1630713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630713600000",
    "number": "1689342529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 W WAUCONDA RD",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600518064",
            "telephone_number": "815-790-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 W WAUCONDA RD",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600518064",
            "telephone_number": "815-790-8809",
            "fax_number": "815-349-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODLIEF",
        "first_name": "DEBRA",
        "middle_name": "L",
        "credential": "RN BSN NC-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-04",
        "last_updated": "2021-09-04",
        "certification_date": "2021-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "IL",
            "license": "041.381867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "McHenry",
            "affiliation": "N",
            "endpointDescription": "DLW Nurse Health Coach LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1320 W Wauconda Rd",
            "city": "McHenry",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600518064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2021; 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.