Active NPI
Jenifer K Zetlan, MA BEHAVIOIRAL SCIEN
- Health & Wellness Coach
- East Falmouth, MA
National Provider Identifier
1821762147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- License
- 168181
- Practice address
- 26 Longshank Cir
East Falmouth, MA 02536-7906 - Phone
- (805) 478-0269
- NPI assigned
- Aug 2, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | CA | ||
| Health & Wellness Coach | 171400000X | 168181 | CA | Primary |
Addresses
Primary practice location
26 Longshank Cir
East Falmouth, MA 02536-7906
Mailing address
26 Longshank Cir
East Falmouth, MA 02536-7906
Phone (805) 478-0269
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA5310668 | Other | CA | BEHAVIORAL THERAPIST |
| 168181 | Other | CA | YOGA ALLIANCE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Jkszetlan@outlook.com | Direct |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 168181 | CA | MD | Health & Wellness Coach |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627862400000",
"number": "1821762147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 LONGSHANK CIR",
"city": "EAST FALMOUTH",
"state": "MA",
"postal_code": "025367906",
"telephone_number": "805-478-0269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 LONGSHANK CIR",
"city": "EAST FALMOUTH",
"state": "MA",
"postal_code": "025367906",
"telephone_number": "805-478-0269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZETLAN",
"first_name": "JENIFER",
"middle_name": "K",
"credential": "MA BEHAVIOIRAL SCIEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-02",
"last_updated": "2021-08-02",
"certification_date": "2021-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": "CA",
"license": "168181",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIORAL THERAPIST",
"identifier": "SA5310668",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "YOGA ALLIANCE",
"identifier": "168181",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Jkszetlan@outlook.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Address",
"address_1": "26 Longshank Circle",
"city": "East Falmouth",
"state": "MA",
"country_code": "US",
"postal_code": "02536",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in East Falmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.