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MR. ELZA LEE HICKINBOTHAM JR.
NPI 1336030899
Health and Wellness Coach in Campbell, CA

Active since July 14, 2025
162 HARRISON AVE, CAMPBELL, CA 95008(669) 294-4341 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Elza Lee Hickinbotham Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ELZA LEE HICKINBOTHAM JR. (NPI 1336030899) is an individual health and wellness coach provider in Campbell, California and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1336030899
Entity TypeIndividualMale
Primary Taxonomy171400000X
Provider Legal NameMR. ELZA LEE HICKINBOTHAM JR.
Location Address162 HARRISON AVECampbell, CA 95008-1444
Mailing Address162 Harrison AveCampbell, CA 95008-1444 · (669) 294-4341
Phone(669) 294-4341
Sole ProprietorNo
Enumeration DateJuly 14, 2025
NPPES CertifiedJuly 13, 2025
✔ NPI 1336030899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHealth and Wellness CoachOther Service Providers
Taxonomy Code171400000X
Definition
The Health & Wellness Coach is trained in motivational theories, strategies, and communication techniques, which are used to assist patients to develop intrinsic motivation and obtain skills to create sustainable change for improved health and well-being. Health and wellness coaching is a patient-centered approach wherein patients at least partially determine their goals, use self-discovery or active learning processes together with content education to work toward their goals, and self-monitor behaviors to increase accountability, all within the context of an interpersonal relationship with a coach.
162 HARRISON AVE, Campbell, CA 95008
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elza Hickinbotham's NPI number?

The NPI number for Elza Hickinbotham is 1336030899. It was assigned to this individual provider in the NPPES registry on July 14, 2025.

Where is Elza Hickinbotham located?

Elza Hickinbotham practices at 162 Harrison Ave, Campbell, CA 95008. The listed phone number is (669) 294-4341.

What is Elza Hickinbotham's specialty?

The primary specialty registered for this NPI is Health and Wellness Coach with taxonomy code 171400000X.

When was this NPI record last updated?

The NPPES record for Elza Hickinbotham was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.