Active NPI
Emily Petersen
- Health & Wellness Coach
- McKinney, TX
National Provider Identifier
1922719160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- License
- A-3690326
- Practice address
- 8500 White Stallion TRL
McKinney, TX 75070-6898 - Phone
- (801) 735-9547
- NPI assigned
- Dec 8, 2022
- Sex
- Female
- Sole proprietor
- No
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-3690326 | Primary |
Addresses
Primary practice location
8500 White Stallion TRL
McKinney, TX 75070-6898
Mailing address
8500 White Stallion TRL
McKinney, TX 75070-6898
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1323 | Other | 01- NON- MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.riselyhealth.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670457600000",
"number": "1922719160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8500 WHITE STALLION TRL",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750706898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8500 WHITE STALLION TRL",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750706898",
"telephone_number": "801-735-9547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSEN",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-08",
"last_updated": "2022-12-08",
"certification_date": "2022-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": "A-3690326",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "01- NON- MEDICARE",
"identifier": "1323",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.riselyhealth.com",
"affiliation": "N",
"address_1": "7 Tarleton Ln",
"city": "Northport",
"state": "NY",
"country_code": "US",
"postal_code": "117682532",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.