Mary Joan Brackin, HEALTH COACH
NPI 1801550652ActiveIndividual· Prevention Professional· San Diego, CA
Prevention Professional (HEALTH COACH) in San Diego, California, licensed in CA, with an NPI issued in October 2021.
Overview
| NPI | 1801550652 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | HEALTH COACH |
| Sole proprietor | No |
| NPI issued | Oct 27, 2021 |
| Last updated in NPPES | Oct 27, 2021 |
| Certified by provider | Oct 27, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Prevention Professional Primary | 405300000X | NONE | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Prevention Professional providers in San Diego
- 1548797806
- 1437690740
- 1669906178
- 1831621689