MEDICARE: SARAH ROSE SYKES-GOLDSMITH NBC-HWC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1740143205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH ROSE SYKES-GOLDSMITH NBC-HWC

Provider Business Mailing Address
First Line	:	30 10TH ST
Second Line	:
City	:	PROVIDENCE
State	:	RI
Zip	:	02906-2918
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	30 10TH ST
Second Line	:
City	:	PROVIDENCE
State	:	RI
Zip	:	02906-2918
Country	:	US
Telephone Number	:	312-866-4871
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/03/2025
Last Update Date	:	12/03/2025

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