Individual provider Active NPI

Nicole Geis

  • Health & Wellness Coach
  • San Diego, CA
National Provider Identifier
1255295176
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
License
4EE2908D8F Issued in CA
Practice address
3540 Aero CT
San Diego, CA 92123-1711
Phone
(858) 874-4338
NPI assigned
Dec 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X 4EE2908D8F CA Primary

Addresses

Primary practice location

3540 Aero CT
San Diego, CA 92123-1711

Mailing address

11694 Compass Point Dr N Apt 168
San Diego, CA 92126-8581
Phone (858) 874-4338

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

State licenses

LicenseStateTypeSpecialty
4EE2908D8FCAMDHealth & Wellness Coach

Practice roles

OrganizationSpecialtyStatusNew patients
Mindset Charter Schools Inc. CurrentSince Dec 21, 2025 Accepting new patients

Locations

3540 Aero Ct
San Diego, CA 92123
Phone (619) 807-3368

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1255295176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11694 COMPASS POINT DR N APT 168",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921268581",
            "telephone_number": "858-874-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 AERO CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231711",
            "telephone_number": "858-874-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEIS",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "CA",
            "license": "4EE2908D8F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.