Proverbs 12An1 Corp.

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

PROVERBS 12AN1 CORP.

Practice address

4865 Duck Creek Rd
Cincinnati, OH 45227-1421

Phone

(937) 948-9788

NPI assigned

Jan 14, 2026

Organization subpart

No

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

Authorized official

Name

Martinez Wilson, ADAPTIVE FITNESS PRO

Title

Ceo

Phone

(937) 948-9788

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1768348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1740148048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531002",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452531002",
            "telephone_number": "937-948-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4865 DUCK CREEK RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271421",
            "telephone_number": "937-948-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVERBS 12AN1 CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-14",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MARTINEZ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-948-9788",
        "authorized_official_credential": "ADAPTIVE FITNESS PRO"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; 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.