Coached by Cassi LLC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

COACHED BY CASSI LLC

Practice address

6424 E Sherryanna LN
Nampa, ID 83687-5500

Phone

(208) 246-9472

NPI assigned

Sep 18, 2024

Organization subpart

No

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

Authorized official

Name

Cassi Kimberly Fackrell, NBC-HWCNPI 1477380152

Title

Owner/Lead Health Coach

Phone

(208) 246-9472

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cassi Kimberly Fackrell, NBC-HWC

  • Health & Wellness Coach
  • Meridian, ID
  • NPI 1477380152
  NPD Authorized official

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1922835289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6424 E SHERRYANNA LN",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836875500",
            "telephone_number": "208-246-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6424 E SHERRYANNA LN",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836875500",
            "telephone_number": "208-246-9472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COACHED BY CASSI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "FACKRELL",
        "authorized_official_first_name": "CASSI",
        "authorized_official_middle_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER/LEAD HEALTH COACH",
        "authorized_official_telephone_number": "208-246-9472",
        "authorized_official_credential": "NBC-HWC"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health & Wellness Coach in Nampa, ID
• Providers in Nampa, ID by specialty
• Health & Wellness Coach in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.