MEDICARE: LAINI BYFIELD NBCHWC

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	546523188	FL

General Provider Information

NPI Number	:	1073461513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAINI BYFIELD NBCHWC

Provider Business Mailing Address
First Line	:	414 FLOUNDER AVE NE
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32907-1965
Country	:	US
Telephone Number	:	305-614-6027
Fax Number	:

Provider Business Practice Location Address
First Line	:	478 N BABCOCK ST
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32935-6922
Country	:	US
Telephone Number	:	305-614-6027
Fax Number	:

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

Provider Enumeration Date	:	03/19/2026
Last Update Date	:	03/19/2026

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