Individual provider Active NPI

Isabela Fortes Baumgardner, FDN-P, CIYT, CYT

  • Health & Wellness Coach
  • San Clemente, CA
National Provider Identifier
1740936210
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
License
225143908 Issued in TX
Practice address
18 Corte El Brazo # 18
San Clemente, CA 92673-7023
Phone
(949) 547-9673
NPI assigned
Feb 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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 225143908 TX Primary

Addresses

Primary practice location

18 Corte El Brazo # 18
San Clemente, CA 92673-7023

Mailing address

18 Corte El Brazo
San Clemente, CA 92673-7023
Phone (949) 547-9673

Other names 1

  • Isabela Fortes Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.isabelafortes.com 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

State licenses

LicenseStateTypeSpecialty
225143908TXMDHealth & Wellness Coach

NPI Registry JSON

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1740936210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 CORTE EL BRAZO",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926737023",
            "telephone_number": "949-547-9673",
            "fax_number": "949-481-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CORTE EL BRAZO # 18",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926737023",
            "telephone_number": "949-547-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMGARDNER",
        "first_name": "ISABELA",
        "middle_name": "FORTES",
        "credential": "FDN-P, CIYT, CYT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "TX",
            "license": "225143908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.isabelafortes.com",
            "affiliation": "N",
            "endpointDescription": "laptop",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "18 Corte El Brazo # 18",
            "city": "San Clemente",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926737023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ISABELA",
            "last_name": "FORTES",
            "credential": "FDN-P, CIYT, CYT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.

Verify at the official NPI Registry.