OrganizationActive
Fulfilling Life PLLC
NPI 1922796408 · Specialist · Edwardsville, IL
Fulfilling Life PLLC is a Specialist organization in Edwardsville, IL (NPI 1922796408).
Provider details
- NPI number
- 1922796408
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Di'Ara Woods, Ceo(314) 749-8906
Specialties & taxonomies
Other Service Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3 Club Centre Ct Ste B1
Edwardsville, IL 62025-3519
Phone: (618) 699-4402
Fax: (618) 590-8199
Street-level locationGet directions
Mailing address
403 Glen Carbon Rd
Glen Carbon, IL 62034-2965
Registry dates
- Enumerated
- 2023-04-24
- Last updated
- 2023-04-24
- Certified
- 2023-04-24
Frequently asked questions
- What is Fulfilling Life PLLC's NPI number?
- Fulfilling Life PLLC's National Provider Identifier (NPI) is 1922796408, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fulfilling Life PLLC?
- Fulfilling Life PLLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Fulfilling Life PLLC located?
- Fulfilling Life PLLC's practice location on file with NPPES is 3 Club Centre Ct Ste B1, Edwardsville, IL 62025-3519.
- What is Fulfilling Life PLLC's phone number?
- The practice phone number listed in the NPPES registry for Fulfilling Life PLLC is (618) 699-4402.
- Who is the authorized official for Fulfilling Life PLLC?
- The authorized official listed on Fulfilling Life PLLC's NPPES record is Di'Ara Woods, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fulfilling Life PLLC's NPI active?
- Yes — Fulfilling Life PLLC's NPI (1922796408) is active in the NPPES registry as of the last update on 2023-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.