Active NPI
Regenerating Me Essentials LLC
- Health & Wellness Coach
- Conyers, GA
National Provider Identifier
1750116752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Legal business name
- REGENERATING ME ESSENTIALS LLC
- Practice address
- 1303 Parker Rd SE Ste a
Conyers, GA 30094-5984 - Phone
- (470) 778-6869
- NPI assigned
- Sep 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. April Dionne Williams, SILVER SNEAKER INSTR
- Title
- Health, Wellness Coach
- Phone
- (267) 777-0837
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | Primary |
Addresses
Primary practice location
1303 Parker Rd SE Ste a
Conyers, GA 30094-5984
Mailing address
2911 Happy Hollow Dr SE
Conyers, GA 30094-3220
Phone (267) 777-0837
Other names 2
- Regenerating Me
- Regenerating Me - Crystal and Salt Lounge
National Provider Directory
National Provider DirectoryLocations
1303 Parker Rd SE
Ste A
Conyers, GA 30094
Phone (470) 708-4678
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pastoral Counselor
- Conyers, GA
- NPI 1902635519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727568000000",
"number": "1750116752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2911 HAPPY HOLLOW DR SE",
"city": "CONYERS",
"state": "GA",
"postal_code": "300943220",
"telephone_number": "267-777-0837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 PARKER RD SE STE A",
"city": "CONYERS",
"state": "GA",
"postal_code": "300945984",
"telephone_number": "470-778-6869"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGENERATING ME ESSENTIALS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-09",
"last_updated": "2024-09-29",
"certification_date": "2024-09-29",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "APRIL",
"authorized_official_middle_name": "DIONNE",
"authorized_official_title_or_position": "HEALTH, WELLNESS COACH",
"authorized_official_telephone_number": "267-777-0837",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "SILVER SNEAKER INSTR"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Regenerating Me",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Regenerating Me - Crystal and Salt Lounge",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Regenerating Me - Crystal and Salt Lounge",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.