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AMELIA KATHLEEN CANCILLA DTTAC LIFESTYLE COAC NPI 1669960530


NPI Information

NPI: 1669960530
Provider Name: AMELIA KATHLEEN CANCILLA, DTTAC LIFESTYLE COAC
Classification: Health Educator - 174H00000X
Entity Type: Individual
Address:
528 E MAIN ST STE E
JOHN DAY, OR
ZIP 97845
Phone: (541) 575-0429
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Amelia Kathleen Cancilla, DTTAC LIFESTYLE COAC is a health educator in John Day, OR. The provider is 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. Amelia Kathleen Cancilla, DTTAC LIFESTYLE COAC NPI is 1669960530. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

528 E MAIN ST STE E
JOHN DAY, OR
ZIP 97845-289
Phone: (541) 575-0429

The enumeration date for this NPI number is 4/26/2018 and was last updated on 4/26/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174H00000XHealth EducatorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.