Individual provider Active NPI

Stephen Weatherholt

  • Health & Wellness Coach
  • Sykesville, MD
National Provider Identifier
1831002336
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
License
A-3785198 Issued in MD
Practice address
6605 Gladstone Dr
Sykesville, MD 21784-6276
Phone
(301) 491-8788
NPI assigned
Sep 24, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X A-3785198 MD Primary

Addresses

Primary practice location

6605 Gladstone Dr
Sykesville, MD 21784-6276

Mailing address

6605 Gladstone Dr
Sykesville, MD 21784-6276
Phone (301) 491-8788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1831002336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6605 GLADSTONE DR",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217846276",
            "telephone_number": "301-491-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6605 GLADSTONE DR",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217846276",
            "telephone_number": "301-491-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERHOLT",
        "first_name": "STEPHEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-24",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "MD",
            "license": "A-3785198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sykesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.