Nichole Marie Jones, NBC-HWC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

License

A-3402875 Issued in IL

Practice address

3711 15TH Ave
Moline, IL 61265-3415

Phone

(309) 429-9171

NPI assigned

Dec 16, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1235898362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 15TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612653415",
            "telephone_number": "309-429-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 15TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612653415",
            "telephone_number": "309-429-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "NICHOLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "NBC-HWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "IL",
            "license": "A-3402875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@nichole-jones.com",
            "affiliation": "N",
            "endpointDescription": "Virtual Endpoint for ADT Notification",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Visit notification note (LOINC 86530-3)",
            "address_1": "3711 15th Ave",
            "city": "Moline",
            "state": "IL",
            "country_code": "US",
            "postal_code": "612653415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Suzanne Ellen Johnson, BCABA
• Tara L Johnson, FNP
• Tricia Sue Johnson, APN
• Allison Johnston, MHP
• Jessica L. Johnston, APN
• Sha'Miracle Jones
• Virginia Jones, PHARMD
• Rosemary Jordan, LCSW
• Alesia Audri Juarez, LPC
• Annulka Lynn Kagee-Willard

• Health & Wellness Coach in Moline, IL
• Providers in Moline, IL by specialty
• Health & Wellness Coach in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.