MEDICARE: RENADJA TAYLOR HHP

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	230574005	TX
2	133NN1002X	Nutrition Education Nutritionist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	263332617	OTHER	TX	HEALTH & WELLNESS
2	1700695574	OTHER	TX	HEALTH WELLNESS NUTRITION

General Provider Information

NPI Number	:	1871253823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RENADJA TAYLOR HHP

Provider Business Mailing Address
First Line	:	1140 W PIONEER PKWY STE D
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76013-6383
Country	:	US
Telephone Number	:	682-323-7661
Fax Number	:	817-549-4403

Provider Business Practice Location Address
First Line	:	1140 W PIONEER PKWY STE D
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76013-6383
Country	:	US
Telephone Number	:	682-323-7661
Fax Number	:	817-549-4403

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

Provider Enumeration Date	:	12/17/2021
Last Update Date	:	04/20/2026

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Directions to “ RENADJA TAYLOR HHP” Practice Location

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