NPIMap

Organization Active NPI

Shonda Peterson

  • Health & Wellness Coach
  • Harper Woods, MI
National Provider Identifier
1982476743
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Legal business name
SHONDA PETERSON
Practice address
20251 Hunt Club Dr
Harper Woods, MI 48225-1761
Phone
(313) 465-3439
NPI assigned
Oct 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Authorized official

Name
Mrs. Shonda PetersonNPI 1396479309
Title
Health and Wellness Coach
Phone
(313) 465-3439

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

20251 Hunt Club Dr
Harper Woods, MI 48225-1761

Mailing address

20251 Hunt Club Dr
Harper Woods, MI 48225-1761
Phone (313) 465-3439

Other names 1

  • Eden Gives Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1982476743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20251 HUNT CLUB DR",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251761",
            "telephone_number": "313-465-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20251 HUNT CLUB DR",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251761",
            "telephone_number": "313-465-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHONDA PETERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "SHONDA",
        "authorized_official_title_or_position": "HEALTH AND WELLNESS COACH",
        "authorized_official_telephone_number": "313-465-3439",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eden Gives",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harper Woods, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.