Individual provider Active NPI

Nicole Hanse, NTP, INHC, BS-HWM

  • Health & Wellness Coach
  • Tomahawk, WI
National Provider Identifier
1326894403
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Practice address
1411 N 4TH St Ste 113
Tomahawk, WI 54487-2153
Phone
(715) 966-0555
NPI assigned
Apr 29, 2024
Last updated
Apr 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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 WI Primary

Addresses

Primary practice location

1411 N 4TH St Ste 113
Tomahawk, WI 54487-2153

Mailing address

1411 N 4TH St Ste 113
Tomahawk, WI 54487-2153
Phone (715) 966-0555

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

NPI Registry JSON

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1326894403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 N 4TH ST STE 113",
            "city": "TOMAHAWK",
            "state": "WI",
            "postal_code": "544872153",
            "telephone_number": "715-966-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N 4TH ST STE 113",
            "city": "TOMAHAWK",
            "state": "WI",
            "postal_code": "544872153",
            "telephone_number": "715-966-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSE",
        "first_name": "NICOLE",
        "credential": "NTP, INHC, BS-HWM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomahawk, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.