=====================================================
General NPI Number Information
=====================================================
NPI Number | 1518820521
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MADELYN FAITH STELLPFLUG RICE M.ED
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/05/2025
-----------------------------------------------------
Last Update Date | 12/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2120 SAN DIEGO AVE
-----------------------------------------------------
City | SAN DIEGO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92110-2901
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 619-574-6225
-----------------------------------------------------
Fax | 619-683-2096
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2120 SAN DIEGO AVE
-----------------------------------------------------
City | SAN DIEGO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92110-2901
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 619-574-6225
-----------------------------------------------------
Fax | 619-683-2096
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171400000X
-----------------------------------------------------
Taxonomy Name | Health & Wellness Coach
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------