VIBRANT LIFE HEALTH COACH LLC (NPI# 1972149631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972149631 |
| Entity Type | Organization |
| Organization Name | VIBRANT LIFE HEALTH COACH LLC |
| Practice Address |
861 Water St Watertown NY 13601-2115 |
| Practice Telephone | 3157772649 |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2019-11-18 |
| Authorized Official Name | TRACEY ROUNDS (OWNER) |
| Authorized Official Telephone | 3157772649 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174H00000X | Health Educator | Other Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | VIBRANT LIFE HEALTH COACH LLC | 861 Water Street, Watertown, Ny 13601 |
| Street Address |
861 WATER ST |
| City | WATERTOWN |
| State | NY |
| Zip Code | 13601-2115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414156 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 122 Court Street, Empsall Bldg, Room 212, Watertown, NY 13601 | 2020-07-13 |
| 1083231377 | Katherine Anne Cahill | Counselor | 22679 Duffy Road, Watertown, NY 13601 | 2020-07-02 |
| 1851855431 | Hanna Kearney | Physical Therapist | 20053 Summit View Blvd Ste 2, Watertown, NY 13601 | 2019-01-28 |
| 1578039905 | North Country Counseling Services LLC | Counselor | 210 Court St. Suite 4, Watertown, NY 13601 | 2018-10-24 |
| 1073004388 | Megan Anna O'brien | Counselor | 221 S Rutland Street, Watertown, NY 13601 | 2018-05-22 |
| 1558860536 | Kimberly Lynne Amelio | Specialist | 24850 Hinds Rd, Watertown, NY 13601 | 2018-02-06 |
| 1952840050 | Alberto Gonzalez | Social Worker | 211 Jb Wise Plaza, Watertown, NY 13601 | 2017-02-22 |
| 1073967386 | Amanda Pisarski | Licensed Practical Nurse | 26713 Nys Rte 12, Watertown, NY 13601 | 2016-04-22 |
| 1396137709 | Daniel Ernest Morgan | Neuromusculoskeletal Medicine & OMM | 21101 Ny-12f, Building 2, Suite 7, Watertown, NY 13601 | 2015-02-21 |
| 1568868131 | Megan E. Zamora | Dental Hygienist | 14652-b Cedar Way, Watertown, NY 13601 | 2014-11-10 |
| Find all providers in zip 13601 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821534603 | Christina Foulger Harte | Health Educator | 16783 Ives Street Extension, Little Lukes/milestones, Watertown, NY 13601-0172 | 2017-01-17 |
| 1285280222 | Laurie Lalone | Health Educator | 119 Washington St, Watertown, NY 13601-3323 | 2019-08-15 |
| 1336617604 | Jennifer Guest | Health Educator | 506 1st Ave Se, Watertown, SD 57201-4499 | 2018-11-05 |
| 1538658224 | Michelle Lee Graham | Health Educator | 119 Washington St, Watertown, NY 13601-3323 | 2018-05-08 |
| 1558806034 | The Young Men's Christian Association of Watertown Ny Inc. | Health Educator | 119 Washington St, Watertown, NY 13601-3323 | 2016-12-20 |
| 1194198796 | Mary Ellen Rosenfeld | Health Educator | 16783 Ives Street Ext, Watertown, NY 13601-5312 | 2015-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427210 | Erica Bailey | Health Educator | 10 Clawson St Fl 1, Staten Island, NY 10306-3304 | 2020-11-04 |
| 1154920932 | Yelena Maur | Health Educator | 130 Whitman Ave, Staten Island, NY 10308-3407 | 2020-10-22 |
| 1578162665 | Celeste Pinkston | Health Educator | 2415 Newkirk Ave Apt 3j, Brooklyn, NY 11226-7633 | 2020-10-20 |
| 1598379554 | Maureen Rene | Health Educator | 3601 Avenue J Apartment C6, Brooklyn, NY 11210 | 2020-09-06 |
| 1508476607 | Ww Health Solutions, Inc. | Health Educator | 675 Avenue of The Americas, New York, NY 10010-5100 | 2020-08-04 |
| 1235748732 | Rivel Lozada | Health Educator | 435 Fort Washington Ave Apt 2b, New York, NY 10033-3527 | 2020-07-30 |
| 1790303188 | Desrene James | Health Educator | 1623 Utica Ave, Brooklyn, NY 11234-1524 | 2020-07-11 |
| 1801412309 | Sharifa H Grant | Health Educator | 13 Brewster Ct, Washingtonville, NY 10992-1022 | 2020-06-19 |
| 1215563523 | Julissa Reynoso | Health Educator | 247 W 37th St Fl 9, New York, NY 10018-5193 | 2020-03-18 |
| 1780219444 | Shani A Faure | Health Educator | 11620 168th St, Jamaica, NY 11434-1730 | 2020-03-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.