NPIMap

Organization Active NPI

Melanin Health Mama LLC

  • Health & Wellness Coach
  • Toledo, OH
National Provider Identifier
1750079919
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Legal business name
MELANIN HEALTH MAMA LLC
Practice address
1506 Twin Oaks Dr
Toledo, OH 43615-4035
Phone
(770) 543-9412
NPI assigned
Apr 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Authorized official

Name
Tracey LewisNPI 1336530658
Title
Ceo
Phone
(770) 543-9412

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X Primary

Addresses

Primary practice location

1506 Twin Oaks Dr
Toledo, OH 43615-4035

Mailing address

1506 Twin Oaks Dr
Toledo, OH 43615-4035
Phone (770) 543-9412

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1750079919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 TWIN OAKS DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436154035",
            "telephone_number": "770-543-9412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 TWIN OAKS DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436154035",
            "telephone_number": "770-543-9412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELANIN HEALTH MAMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-543-9412"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.