Active NPI
Chassity Gulley
- Health & Wellness Coach
- Henderson, NV
National Provider Identifier
1710569710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Practice address
- 100 N Green Valley Pkwy Ste 235
Henderson, NV 89074-7704 - Phone
- (725) 333-8036
- NPI assigned
- Apr 28, 2021
- 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 | Primary |
Addresses
Primary practice location
100 N Green Valley Pkwy Ste 235
Henderson, NV 89074-7704
Mailing address
10115 Jeffreys St Apt 2015
Las Vegas, NV 89183-7913
Phone (419) 708-6623
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": "1619568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619568000000",
"number": "1710569710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10115 JEFFREYS ST APT 2015",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891837913",
"telephone_number": "419-708-6623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N GREEN VALLEY PKWY STE 235",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890747704",
"telephone_number": "725-333-8036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULLEY",
"first_name": "CHASSITY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-28",
"last_updated": "2021-04-28",
"certification_date": "2021-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.