Urban Indigo Inc

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

URBAN INDIGO INC

Doing business as

The Urban Indigo Foundation

Practice address

4051 Sparta Blvd
Atlanta, GA 30349-7649

Phone

(404) 353-0432

NPI assigned

Jan 16, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Nikole Green

Title

Cheif Executive Officer

Phone

(404) 353-0432

Specialties & licenses 2

Addresses

Other names 1

• The Urban Indigo Foundation Doing business as

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1811758048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4051 SPARTA BLVD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303497649",
            "telephone_number": "404-353-0432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4051 SPARTA BLVD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303497649",
            "telephone_number": "404-353-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN INDIGO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "NIKOLE",
        "authorized_official_title_or_position": "CHEIF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "404-353-0432",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Urban Indigo Foundation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Upstream ABA Georgia LLC
• Katherine Fallon Upton, NCC
• Richard William Henshaw Upton, DMD
• Chiemi Amanda Ura, C.N.M.
• Darla Rae Ura, RN, ANP
• John G Urban, AA
• Amy E Urbanus, CSFA
• Valeria Karina Urbina Orellana
• Catalina Valencia Urbizo, PA-C
• Kristeen Urena, PT, DPT

• Health & Wellness Coach in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Health & Wellness Coach in Georgia

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

Verify at the official NPI Registry.