Active NPI
Lake Erie Integrative Health LLC
- Health & Wellness Coach
- Conneaut, OH
National Provider Identifier
1821905720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Legal business name
- LAKE ERIE INTEGRATIVE HEALTH LLC
- Practice address
- 268 State St
Conneaut, OH 44030-2670 - Phone
- (440) 209-2916
- NPI assigned
- Aug 26, 2026
- 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
- Tatyana N Kuvshinikov, PA-C
- Title
- Physician Assistant
- Phone
- (440) 209-2916
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | Primary |
Addresses
Primary practice location
268 State St
Conneaut, OH 44030-2670
Mailing address
268 State St
Conneaut, OH 44030-2670
Phone (440) 209-2916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787702400000",
"number": "1821905720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "268 STATE ST",
"city": "CONNEAUT",
"state": "OH",
"postal_code": "440302670",
"telephone_number": "440-209-2916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "268 STATE ST",
"city": "CONNEAUT",
"state": "OH",
"postal_code": "440302670",
"telephone_number": "440-209-2916"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKE ERIE INTEGRATIVE HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-26",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A",
"authorized_official_last_name": "KUVSHINIKOV",
"authorized_official_first_name": "TATYANA",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
"authorized_official_telephone_number": "440-209-2916",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conneaut, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.