Nadine Chudoba

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

License

1210560458 Issued in PA

Practice address

2027 Store Rd
Harleysville, PA 19438-3326

Phone

(610) 316-1590

Fax

(610) 584-1746

NPI assigned

Feb 8, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1902503188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 STORE RD",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194383326",
            "telephone_number": "610-316-1590",
            "fax_number": "610-584-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 STORE RD",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194383326",
            "telephone_number": "610-316-1590",
            "fax_number": "610-584-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUDOBA",
        "first_name": "NADINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "PA",
            "license": "1210560458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.hopefulhealing.net/",
            "affiliation": "N",
            "endpointDescription": "Health and Wellness",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health and Wellness",
            "address_1": "2027 Store Rd",
            "city": "Harleysville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194383326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Health & Wellness Coach in Harleysville, PA
• Providers in Harleysville, PA by specialty
• Health & Wellness Coach in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.

Verify at the official NPI Registry.