Organization Active NPI

Hale Legacy Health Coaching and Fitness LLC.

  • Health & Wellness Coach
  • Charlotte, NC
National Provider Identifier
1942980156
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Legal business name
HALE LEGACY HEALTH COACHING AND FITNESS LLC.
Practice address
9737 Dominion Crest Dr
Charlotte, NC 28269-7024
Phone
(704) 654-5154
NPI assigned
Jul 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Authorized official

Name
Maiya I Keeling
Title
Owner
Phone
(704) 065-4051

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171400000X Primary
Clinical Exercise PhysiologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 224Y00000X

Addresses

Primary practice location

9737 Dominion Crest Dr
Charlotte, NC 28269-7024

Mailing address

9737 Dominion Crest Dr
Charlotte, NC 28269-7024
Phone (704) 654-5154

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1942980156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9737 DOMINION CREST DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282697024",
            "telephone_number": "704-654-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9737 DOMINION CREST DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282697024",
            "telephone_number": "704-654-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALE LEGACY HEALTH COACHING AND FITNESS LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "I KEELING",
        "authorized_official_first_name": "MAIYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-065-4051"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "224Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.