Individual provider Active NPI

Renadja Taylor, HHP

  • Health & Wellness Coach
  • Arlington, TX
National Provider Identifier
1871253823
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
License
230574005 Issued in TX
Practice address
1140 W Pioneer Pkwy Ste D
Arlington, TX 76013-6383
Phone
(682) 323-7661
Fax
(817) 549-4403
NPI assigned
Dec 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X 230574005 TX Primary
Nutrition Education Nutritionist 133NN1002X

Addresses

Primary practice location

1140 W Pioneer Pkwy Ste D
Arlington, TX 76013-6383

Mailing address

1140 W Pioneer Pkwy Ste D
Arlington, TX 76013-6383
Phone (682) 323-7661

Other identifiers 2

IdentifierTypeStateIssuer
263332617OtherTXHEALTH & WELLNESS
1700695574OtherTXHEALTH WELLNESS NUTRITION

Other names 1

  • Renadja Taylor Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL medisoft

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

State licenses

LicenseStateTypeSpecialty
230574005TXMDHealth & Wellness Coach

Practice roles

OrganizationSpecialtyStatusNew patients
Residual Health Center CurrentSince Dec 1, 2021 Accepting new patients
Residual Health Current Accepting new patients

Locations

1140 W Pioneer Pkwy
Ste D
Arlington, TX 76013
Phone (682) 323-7661

5801 W Interstate 20
Ste 305
Arlington, TX 76017

1106 N State Highway 360
Ste 300
Grand Prairie, TX 75050
Phone (214) 483-1993

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1871253823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 W PIONEER PKWY STE D",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760136383",
            "telephone_number": "682-323-7661",
            "fax_number": "817-549-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W PIONEER PKWY STE D",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760136383",
            "telephone_number": "682-323-7661",
            "fax_number": "817-549-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "RENADJA",
        "credential": "HHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-17",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "TX",
            "license": "230574005",
            "primary": true
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH & WELLNESS",
            "identifier": "263332617",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH WELLNESS NUTRITION",
            "identifier": "1700695574",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "medisoft",
            "affiliation": "N",
            "endpointDescription": "mobile doc emr",
            "address_1": "1106 N Hwy 360 Ste 300",
            "city": "Grand Prairie",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750502511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RENADJA",
            "last_name": "TAYLOR",
            "credential": "HHP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.