Heidi Nicole Wooley, CBHP

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

5790 Great Northern Blvd Apt F3
North Olmsted, OH 44070-5607

Phone

(440) 371-0590

NPI assigned

Jan 13, 2023

Last updated

Jan 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: contact@elyvatewellness.com

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1922712900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5790 GREAT NORTHERN BLVD APT F3",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440705607",
            "telephone_number": "440-371-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5790 GREAT NORTHERN BLVD APT F3",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440705607",
            "telephone_number": "440-371-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLEY",
        "first_name": "HEIDI",
        "middle_name": "NICOLE",
        "credential": "CBHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE NUMBER",
            "identifier": "RS044275",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@Elyvatewellness.com",
            "affiliation": "N",
            "address_1": "5790 Great Northern Blvd Apt F3",
            "city": "North Olmsted",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440705607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Health & Wellness Coach in North Olmsted, OH
• Providers in North Olmsted, OH by specialty
• Health & Wellness Coach in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.