Individual provider Active NPI

Nicole Ciara Lunde

  • Health & Wellness Coach
  • Redondo Beach, CA
National Provider Identifier
1376419689
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Practice address
514 N Prospect Ave Ste 400
Redondo Beach, CA 90277-3040
Phone
(310) 374-5706
NPI assigned
Oct 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 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 Primary

Addresses

Primary practice location

514 N Prospect Ave Ste 400
Redondo Beach, CA 90277-3040

Mailing address

1200 Del Amo St
Redondo Beach, CA 90277-3050
Phone (310) 374-5706

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beach Cities Health District CurrentSince Oct 21, 2025 Accepting new patients

Locations

514 N Prospect Ave
Ste 400
Redondo Beach, CA 90277
Phone (310) 374-3426

1200 Del Amo St
Redondo Beach, CA 90277
Phone (310) 374-3426

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": "1760400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1376419689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 DEL AMO ST",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773050",
            "telephone_number": "310-374-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 N PROSPECT AVE STE 400",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773040",
            "telephone_number": "310-374-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDE",
        "first_name": "NICOLE",
        "middle_name": "CIARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.