Kim Rose Nelson
Individual provider Active NPI Health & Wellness Coach · Corcoran, MN
NPI 1376410548 · NPPES record last updated Oct 21, 2025
Key facts
- NPI
- 1376410548
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health & Wellness Coach 171400000X
- Practice address
- 7451 Hickory LN
Corcoran, MN 55340-2606 - Phone
- (651) 214-7857
- NPI assigned
- Oct 21, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | Yes |
Addresses
Primary practice location
7451 Hickory LN
Corcoran, MN 55340-2606
Mailing address
945 Market St # 501
San Francisco, CA 94103-1701
Phone (855) 442-5885
Other providers in Corcoran, MN
- Sarah Rowan Eisenreich
- Integrated Rd Care
- Amy B Johnson
- Christopher Johnson
- Latasha Larson
- Saint Therese of Corcoran, LLC
- James Peter Seim
- Suite Living Senior Care of Corcoran
- Comfort Wagner
- Weaver Health LLC
All providers in Corcoran, MN · Health & Wellness Coach in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.