Wellness Academy, LLC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

WELLNESS ACADEMY, LLC

Doing business as

Wellness Academy USA

Practice address

1501 India St Ste 103-65
San Diego, CA 92101-2445

Phone

(310) 497-7904

NPI assigned

May 20, 2024

Last updated

May 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Brittany L Wilson, A.S, B.S.

Title

Cfo

Phone

(949) 335-2188

Specialties & licenses 1

Addresses

Other names 1

• Wellness Academy USA Doing business as

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1952150187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 INDIA ST STE 103-65",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012445",
            "telephone_number": "310-497-7904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 INDIA ST STE 103-65",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012445",
            "telephone_number": "310-497-7904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS ACADEMY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-19",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "949-335-2188",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "A.S, B.S."
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Academy USA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Thailyn Wellman, NONE
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• Adam Brent Wells, DMD

• Health & Wellness Coach in San Diego, CA
• Providers in San Diego, CA by specialty
• Health & Wellness Coach in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.