NPIMap

Individual provider Active NPI

Tisha Lanette Corbett-Jones

  • Health & Wellness Coach
  • Temple Hills, MD
National Provider Identifier
1932816477
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Practice address
3410 Brinkley Rd Apt 303
Temple Hills, MD 20748-7112
Phone
(301) 437-3524
NPI assigned
Nov 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193400000X SINGLE SPECIALTY GROUP 171400000X MD Primary

Addresses

Primary practice location

3410 Brinkley Rd Apt 303
Temple Hills, MD 20748-7112

Mailing address

3410 Brinkley Rd Apt 303
Temple Hills, MD 20748-7112
Phone (301) 437-3524

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL email 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

NPI Registry JSON

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1932816477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 BRINKLEY RD APT 303",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207487112",
            "telephone_number": "301-437-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 BRINKLEY RD APT 303",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207487112",
            "telephone_number": "301-437-3524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBETT-JONES",
        "first_name": "TISHA",
        "middle_name": "LANETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health & Wellness Coach",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "email",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3410 Brinkley Rd Apt 303",
            "city": "Temple Hills",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207487112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Temple Hills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.

Verify at the official NPI Registry.