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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DIABETES & KIDNEY DISEASE PREVENTION PROGRAM, LLC
NPI 1669386876
Health and Wellness Coach in Pine Bluff, AR

Active since October 02, 2026
1007 FAIRWAY DR, PINE BLUFF, AR 71603(870) 718-6329 Get Directions Write a Review

NPPES record added: October 2, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Diabetes & Kidney Disease Prevention Program, Llc NPPES

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

DIABETES & KIDNEY DISEASE PREVENTION PROGRAM, LLC (NPI 1669386876) is a healthcare organization registered as a health and wellness coach in Pine Bluff, Arkansas and active in the NPI registry since October 2026. The organization lists Nicole Danise Bates, Executive Director, Lifestyle Coach, as its authorized official.

NPPES Registry Identity

NPI1669386876
Entity TypeOrganization
Primary Taxonomy171400000X
Legal Business NameDIABETES & KIDNEY DISEASE PREVENTION PROGRAM, LLC
Location Address1007 FAIRWAY DRPine Bluff, AR 71603-8105
Mailing Address1007 Fairway DrPine Bluff, AR 71603-8105 · (870) 718-6329
Phone(870) 718-6329
Organization SubpartNo
Authorized OfficialNicole Danise BatesExecutive Director, Lifestyle Coach · (870) 718-6329
Enumeration DateOctober 2, 2026
NPPES CertifiedOctober 2, 2026
✔ NPI 1669386876 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.
1007 FAIRWAY DR, Pine Bluff, AR 71603
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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 Diabetes & Kidney Disease Prevention Program, LLC's NPI number?

The NPI number for Diabetes & Kidney Disease Prevention Program, LLC is 1669386876. It was assigned to this organization in the NPPES registry on October 2, 2026.

Where is Diabetes & Kidney Disease Prevention Program, LLC located?

Diabetes & Kidney Disease Prevention Program, LLC is located at 1007 Fairway Dr, Pine Bluff, AR 71603. The listed phone number is (870) 718-6329.

What is Diabetes & Kidney Disease Prevention Program, LLC'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 Diabetes & Kidney Disease Prevention Program, LLC was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.