Individual provider Active NPI

Nicole Marcione, PHD, NBWHC

  • Health & Wellness Coach
  • Redondo Beach, CA
National Provider Identifier
1114515871
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
License
A-3275868 Issued in CA
Practice address
516 S Catalina Ave
Redondo Beach, CA 90277-4156
Phone
(424) 247-3105
NPI assigned
Jan 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X
Health & Wellness CoachGroup: 193400000X SINGLE SPECIALTY GROUP 171400000X A-3275868 CA Primary

Addresses

Primary practice location

516 S Catalina Ave
Redondo Beach, CA 90277-4156

Mailing address

PO Box 1254
Hermosa Beach, CA 90254-1254
Phone (424) 247-3105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1114515871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1254",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902541254",
            "telephone_number": "424-247-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 S CATALINA AVE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902774156",
            "telephone_number": "424-247-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCIONE",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PHD, NBWHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health & Wellness Coach",
            "state": "CA",
            "license": "A-3275868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.