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NPISignal

Individual Healthcare Provider

Jacquelyne Renee Anton, NBC-HWC AND M.S.

NPI Record: ActiveHealth & Wellness Coach
NPI1720450067
Boise, Idaho

Provider's NPPES record last updated: January 24, 2022

Overview

Entity Type
Individual Healthcare Provider
NPI
1720450067
Primary Specialty
Health & Wellness Coach
Practice Location
Boise, Idaho
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 10:57 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Health & Wellness Coach

    Other Service Providers

    Primary

    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.

    Taxonomy code 171400000X
  • Technician, Other

    Technologists, Technicians & Other Technical Service Providers

    A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

    Taxonomy code 247200000X

Provider-Reported License Information

Health & Wellness Coach (Idaho)
ID-A3435452
Technician, Other (Idaho)
PSG-055
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

4100 E Wildhorse Ln

Boise, Idaho 83712-7593

Phone: (704) 608-1568

Record Information

Enumeration Date
October 27, 2015
Provider's NPPES Record Last Updated
January 24, 2022
Certification Date
January 24, 2022
NPISignal NPPES Dataset
August 2026

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