Individual provider Active NPI

Dayana Louis Jeune Saint Brice

  • Health & Wellness Coach
  • Brooklyn, NY
National Provider Identifier
1750044756
Registry record updated Oct 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
License
1432L001 Issued in NY
Practice address
3018 Glenwood Rd FL 1
Brooklyn, NY 11210-2642
Phone
(171) 885-6680
Fax
(718) 856-6878
NPI assigned
Oct 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 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 1432L001 NY Primary

Addresses

Primary practice location

3018 Glenwood Rd FL 1
Brooklyn, NY 11210-2642

Mailing address

3018 Glenwood Rd FL 1
Brooklyn, NY 11210-2642
Phone (171) 885-6680

Other identifiers 1

IdentifierTypeStateIssuer
760787222MedicaidNY

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
1432L001NYMDHealth & Wellness Coach

NPI Registry JSON

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

{
    "created_epoch": "1634342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634342400000",
    "number": "1750044756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3018 GLENWOOD RD FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102642",
            "telephone_number": "171-885-6680",
            "fax_number": "718-856-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 GLENWOOD RD FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102642",
            "telephone_number": "171-885-6680",
            "fax_number": "718-856-6878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUIS JEUNE SAINT BRICE",
        "first_name": "DAYANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-16",
        "last_updated": "2021-10-16",
        "certification_date": "2021-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NY",
            "license": "1432L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "760787222",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.