Active NPI
Kellye Marie Ojeda, FMCHC, NBC-HWC
- Health & Wellness Coach
- Leander, TX
National Provider Identifier
1902519101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- License
- A-3065661
- Practice address
- 728 Heritage Grove Rd
Leander, TX 78641-1491 - Phone
- (512) 635-2179
- NPI assigned
- Jan 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | A-3065661 | TX | Primary |
Addresses
Primary practice location
728 Heritage Grove Rd
Leander, TX 78641-1491
Mailing address
728 Heritage Grove Rd
Leander, TX 78641-1491
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | laptop | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| A-3065661 | TX | MD | Health & Wellness Coach |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672704000000",
"number": "1902519101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "728 HERITAGE GROVE RD",
"city": "LEANDER",
"state": "TX",
"postal_code": "786411491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "728 HERITAGE GROVE RD",
"city": "LEANDER",
"state": "TX",
"postal_code": "786411491",
"telephone_number": "512-635-2179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OJEDA",
"first_name": "KELLYE",
"middle_name": "MARIE",
"credential": "FMCHC, NBC-HWC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-03",
"last_updated": "2023-01-03",
"certification_date": "2023-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "TX",
"license": "A-3065661",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "laptop",
"affiliation": "N",
"endpointDescription": "computer",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "728 Heritage Grove Rd",
"city": "Leander",
"state": "TX",
"country_code": "US",
"postal_code": "786411491",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Leander, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.