Active NPI
Uneven Lotus Yoga, LLC
- Health & Wellness Coach
- Kentwood, MI
National Provider Identifier
1821961087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela Golladay, ERYT200, YACEP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | Primary | ||
| Peer Specialist | 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 DirectoryLocations
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.
-
- Health & Wellness Coach
- Kentwood, MI
- NPI 1679446835
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.