NPI 1316444631
1+ Years Experience Individual
JENNIFER WEIL LIFESTYLE COACH
04.12.2018
PROVIDER ENUMERATION DATE
06/16/2018
LAST UPDATE DATE
1316444631
NPI NUMBER
About JENNIFER WEIL
Sole proprietor? No, Entity Type 1 Provider (Individual) is not a Sole Proprietor.
JENNIFER WEIL is a provider established in CATONSVILLE, MD. The NPI number of JENNIFER WEIL is 1316444631 and was assigned on 04.12.2018. The practitioners primary taxonomy code is: 174H00000X .
Mailing address
- City: CATONSVILLE
- State: MD
- Postal code: 212284645
- Phone: 4439790302
- Fax: 4109790302
- Address: 405 FREDERICK RD
Primary Practice Address
- Region : CATONSVILLE, MD
- NPI : 1316444631
- Phone : 4439790302
- Fax : 4109790302
- Postalcode : 212284645
- Address : 405 FREDERICK RD
Provider taxonomy - Health Educator
- Taxonomy code: 174H00000X
The taxonomy is the primary taxonomy (there can be only one per NPI record).
Taxonomy description: 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.
Reference NPI Information. Full replica of the CMS (NPPES) NPI record
| Field Name | Value |
|---|---|
| Provider First Line Business Practice Location Address | 405 FREDERICK RD |
| The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box. | |
| Provider Business Practice Location Address City Name | CATONSVILLE |
| The city name in the location address of the provider being identified. | |
| Provider Business Practice Location Address State Name | MD |
| The State or Province name in the location address of the provider being identified. | |
| Provider Business Practice Location Address Postal Code | 212284645 |
| The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. | |
| Provider Business Practice Location Address Telephone Number | 4439790302 |
| The telephone number associated with the location address of the provider being identified. | |
| Provider Business Practice Location Address Fax Number | 4109790302 |
| The fax number associated with the location address of the provider being identified. | |
| NPI | 1316444631 |
| 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. | |
| Healthcare Provider Taxonomy 1 | 174H00000X |
| 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. | |
| Provider Enumeration Date | 04.12.2018 |
| The date the provider was assigned a unique identifier (assigned an NPI). | |
| Last Updated | 06/16/2018 |
| The date that a record was last updated or changed. | |
| Entity Type | Individual |
Code describing the type of health care provider that is being assigned an NPI. Codes are:
| |
| Provider Organization Name (Legal Business Name) | JENNIFER WEIL |
| Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. | |
| Provider First Line Business Mailing Address | 405 FREDERICK RD |
| The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address". | |
| Provider Business Mailing Address City Name | CATONSVILLE |
| The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name". | |
| Provider Business Mailing Address State Name | MD |
| The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name". | |
| Provider Business Mailing Address Postal Code | 212284645 |
| The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code". | |
| Provider Business Mailing Address Telephone Number | 4439790302 |
| The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". | |
| Provider Business Mailing Address Fax Number | 4109790302 |
| The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number". | |
| Healthcare Provider Taxonomy Code #1 | 174H00000X |
| The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. | |
| Healthcare Provider Taxonomy 1 | 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. | |
| Healthcare Provider Primary Taxonomy Switch 1 | Y |
Primary Taxonomy:
| |
| Provider Gender Code | F |
| |
| Is sole proprietor | N |
|