Nicole Stephanie Deister, RN

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

License

2019045915 Issued in MO

Practice address

4524 N Olive St
Kansas City, MO 64116-2012

Phone

(303) 519-9935

NPI assigned

Apr 3, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1617408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617408000000",
    "number": "1508445099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4524 N OLIVE ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641162012",
            "telephone_number": "303-519-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4524 N OLIVE ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641162012",
            "telephone_number": "303-519-9935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1535 Hoaaina St",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968211311",
            "country_code": "US",
            "telephone_number": "303-519-9935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEISTER",
        "first_name": "NICOLE",
        "middle_name": "STEPHANIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-03",
        "last_updated": "2021-04-03",
        "certification_date": "2021-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2019045915",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "MO",
            "license": "2019045915",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "MO",
            "license": "2019045915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://olakinoproject.org",
            "affiliation": "N",
            "address_1": "4524 N Olive St",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641162012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deborah E Deily, LCSW
• Donna N Deines, DDS
• Kelly B Deines, DDS
• Malinda Diane Deines, OTR-L
• Elliot Deisch, PHARM. D
• Kenneth L Deitchman, DC
• Martha Deitrick
• Christy Lynn Dejmal, CPNP
• Bryce Dekat, RRT-NPS
• Courtney L Deklotz, NP

• Health & Wellness Coach in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Health & Wellness Coach in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.

Verify at the official NPI Registry.