Individual provider Active NPI

Scarlet Z Ibis-Roley, IFEC-TMPH, RPF-I

  • Health & Wellness Coach
  • McKinleyville, CA
National Provider Identifier
1760350433
Registry record updated Oct 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
License
82FEE64FD4 Issued in CA
Practice address
1812 Cliff Ave
McKinleyville, CA 95519-3315
Phone
(707) 499-5538
NPI assigned
Oct 25, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2025

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 82FEE64FD4 CA Primary

Addresses

Primary practice location

1812 Cliff Ave
McKinleyville, CA 95519-3315

Mailing address

1812 Cliff Ave
McKinleyville, CA 95519-3315
Phone (707) 499-5538

Other practice location 1

300 Trinity St
Trinidad, CA 95570-9517
Phone (707) 677-3631 ext. 205

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
82FEE64FD4CAMDHealth & Wellness Coach

NPI Registry JSON

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

{
    "created_epoch": "1761350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761350400000",
    "number": "1760350433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 CLIFF AVE",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955193315",
            "telephone_number": "707-499-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 CLIFF AVE",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955193315",
            "telephone_number": "707-499-5538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Trinity St",
            "address_purpose": "LOCATION",
            "city": "Trinidad",
            "state": "CA",
            "postal_code": "955709517",
            "country_code": "US",
            "telephone_number": "707-677-3631 x205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBIS-ROLEY",
        "first_name": "SCARLET",
        "middle_name": "Z",
        "name_prefix": "Ms.",
        "credential": "IFEC-TMPH, RPF-I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-25",
        "last_updated": "2025-10-25",
        "certification_date": "2025-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "CA",
            "license": "82FEE64FD4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinleyville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2025; 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.