Active NPI
Victoria A Fairweather
- Health & Wellness Coach
- Los Angeles, CA
National Provider Identifier
1841966579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Practice address
- 8939 S. Sepulveda Blvd.
Suite 102
Los Angeles, CA 90045 - Phone
- (661) 268-2264
- Fax
- (213) 822-1211
- NPI assigned
- Aug 22, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | |||
| Homeopath | 175L00000X | |||
| Home Health Aide | 374U00000X | |||
| Health & Wellness Coach | 171400000X | Primary |
Addresses
Primary practice location
8939 S. Sepulveda Blvd.
Suite 102
Los Angeles, CA 90045
Mailing address
8939 S. Sepulveda Blvd.
Suite 102
Los Angeles, CA 90045
Phone (661) 268-2264
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.etcbyv.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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685664000000",
"number": "1841966579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8939 S. SEPULVEDA BLVD.",
"address_2": "SUITE 102",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90045",
"telephone_number": "661-268-2264",
"fax_number": "213-822-1211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8939 S. SEPULVEDA BLVD.",
"address_2": "SUITE 102",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90045",
"telephone_number": "661-268-2264",
"fax_number": "213-822-1211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIRWEATHER",
"first_name": "VICTORIA",
"middle_name": "A",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-22",
"last_updated": "2023-06-02",
"certification_date": "2023-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "175L00000X",
"taxonomy_group": "",
"desc": "Homeopath",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.etcbyv.com",
"affiliation": "N",
"endpointDescription": "Secure website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7225 Crescent Park W Apt 410",
"city": "Playa Vista",
"state": "CA",
"country_code": "US",
"postal_code": "900942721",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.