Shila Nichols, NLP PRACTITIONER
Individual provider Active NPI Health & Wellness Coach · Jasper, MO
NPI 1043070022 · NPPES record last updated May 13, 2024
Key facts
- NPI
- 1043070022
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health & Wellness Coach 171400000X
- Practice address
- 101 W 4TH St
Jasper, MO 64755 - Phone
- (417) 483-0295
- NPI assigned
- Mar 19, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6222 | CA | MD | Prevention Professional |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Prevention Professional | 405300000X | 6222 | CA | |
| Health & Wellness Coach | 171400000X | Yes |
Addresses
Primary practice location
101 W 4TH St
Jasper, MO 64755
Mailing address
PO Box 75
Oronogo, MO 64855-0075
Phone (417) 483-0295
Other providers in Jasper, MO
- Vanessa Case
- Rose Ann Darr
- Sadie Endicott
- Jasper County R-V School District
- Katherine Jones
- Jessicca May Shumard
- Patricia Carol Smith
- Shelbie Spresser
- Jennifer Lynn Tucker
- Grace E Ziler
All providers in Jasper, MO · Health & Wellness Coach in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.