Individual provider Active NPI

Annamarie Pamphilis, RDH, ND

  • Health Educator
  • Westlake, OH
National Provider Identifier
1871872242
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
License
31009182 Issued in OH
Practice address
31015 Center Ridge Rd.
Health and Balance Institute, LLC
Westlake, OH 44145
Phone
(440) 539-0392
NPI assigned
Aug 16, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X 31009182 OH Primary

Addresses

Primary practice location

31015 Center Ridge Rd.
Health and Balance Institute, LLC
Westlake, OH 44145

Mailing address

4801 Sprucewood St
Avon, OH 44011-2716
Phone (440) 539-0392

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
31009182OHMDHealth Educator

NPI Registry JSON

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1871872242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 SPRUCEWOOD ST",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440112716",
            "telephone_number": "440-539-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31015 CENTER RIDGE RD.",
            "address_2": "HEALTH AND BALANCE INSTITUTE, LLC",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "44145",
            "telephone_number": "440-539-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAMPHILIS",
        "first_name": "ANNAMARIE",
        "name_prefix": "Dr.",
        "credential": "RDH, ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-16",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "OH",
            "license": "31009182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; 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.