Organization Active NPI

Wellness Coaches USA LLC

  • Clinical Medical Laboratory
  • Blue Bell, PA
National Provider Identifier
1871002956
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
WELLNESS COACHES USA LLC
Practice address
725 Skippack Pike Ste 300
Blue Bell, PA 19422-1749
Phone
(215) 628-4454
NPI assigned
Sep 21, 2017
Last updated
Dec 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Authorized official

Name
Robert A Putnam
Title
Coo
Phone
(215) 628-4454

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133N00000X
Registered DietitianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133V00000X
Clinic/Center 261Q00000X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

725 Skippack Pike Ste 300
Blue Bell, PA 19422-1749

Mailing address

725 Skippack Pike Ste 300
Blue Bell, PA 19422-1749

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2254000Wellness Coaches USA, LLC725 Skippack Pike #300, Blue Bell, PA 19422Certificate of waiverFeb 26, 2028

National Provider Directory

National Provider Directory

Locations

6800 E 2nd St
Prescott Valley, AZ 86314

2250 Chapel Ave W
Ste 200
Cherry Hill, NJ 08002

401 Route 73 N
Ste 300
Marlton, NJ 08053

495 S Main St
Las Vegas, NV 89101

420 Eagleview Blvd
Exton, PA 19341

2675 Morgantown Rd
Reading, PA 19607

NPI Registry JSON

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1871002956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 SKIPPACK PIKE STE 300",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 SKIPPACK PIKE STE 300",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221749",
            "telephone_number": "215-628-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS COACHES USA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-21",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "PUTNAM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "215-628-4454"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Bell, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.