Organization Active NPI

Uneven Lotus Yoga, LLC

  • Health & Wellness Coach
  • Kentwood, MI
National Provider Identifier
1821961087
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Legal business name
UNEVEN LOTUS YOGA, LLC
Practice address
355 48TH St SE
Kentwood, MI 49548-4407
Phone
(616) 805-9195
NPI assigned
Sep 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Angela Golladay, ERYT200, YACEPNPI 1679446835
Title
Registered Yoga Teacher
Phone
(616) 805-9195

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X Primary
Peer SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 175T00000X

Addresses

Primary practice location

355 48TH St SE
Kentwood, MI 49548-4407

Mailing address

5935 Crestmoor Dr SE
Kentwood, MI 49508-6511

National Provider Directory

National Provider Directory

Locations

355 48th St SE
Kentwood, MI 49548
Phone (616) 805-9195

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1821961087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5935 CRESTMOOR DR SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495086511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 48TH ST SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495484407",
            "telephone_number": "616-805-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNEVEN LOTUS YOGA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "GOLLADAY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "REGISTERED YOGA TEACHER",
        "authorized_official_telephone_number": "616-805-9195",
        "authorized_official_credential": "ERYT200, YACEP"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kentwood, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.