Kenyannya Wilcox

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

2007 Valley Crossing Dr
Jacksonville, FL 32210-2582

Phone

(904) 401-1308

NPI assigned

Dec 14, 2021

Last updated

Dec 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1861151136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 VALLEY CROSSING DR.",
            "address_2": "ADDRESS 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322102582",
            "telephone_number": "904-401-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 VALLEY CROSSING DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322102582",
            "telephone_number": "904-401-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "KENYANNYA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "132700000X",
            "taxonomy_group": "",
            "desc": "Dietary Manager",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sameka Wilburn
• Tyler Wilburn, CRNA
• Abigail Wilcox, MSN, CPNP-PC
• Chandler Curtis Wilcox, MD
• Jennell Wilcox, COTA
• Tracy Nicole Wilcox, PTA, LAT, ATC
• Victoria Garten Wilcox, LMHC
• Jerry Elliott Wilcoxon, MACCCSLP
• Vanessa Jaclyn Wilczak, D.C.
• Steven Edward Wildasin, CRNA

• Health & Wellness Coach in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Health & Wellness Coach in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.