Active NPI
Nicole Cieslak, FNTP, CPT
- Health & Wellness Coach
- Phoenix, AZ
National Provider Identifier
1376122572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Practice address
- 6901 E Chauncey LN Apt 2183
Phoenix, AZ 85054-5130 - Phone
- (412) 287-3259
- NPI assigned
- Apr 5, 2021
- Last updated
- Apr 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | NU | Primary |
Addresses
Primary practice location
6901 E Chauncey LN Apt 2183
Phoenix, AZ 85054-5130
Mailing address
6901 E Chauncey LN Apt 2183
Phoenix, AZ 85054-5130
Phone (412) 287-3259
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": "1617580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617580800000",
"number": "1376122572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6901 E CHAUNCEY LN APT 2183",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850545130",
"telephone_number": "412-287-3259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6901 E CHAUNCEY LN APT 2183",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850545130",
"telephone_number": "412-287-3259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIESLAK",
"first_name": "NICOLE",
"credential": "FNTP, CPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-05",
"last_updated": "2021-04-05",
"certification_date": "2021-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.