Active NPI
Nicki's Staafly Mindset Moments
- Community/Behavioral Health Agency
- Corona, CA
National Provider Identifier
1508790536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- NICKI'S STAAFLY MINDSET MOMENTS
- Practice address
- 1800 Baywood Dr Apt 204
Corona, CA 92881-3333 - Phone
- (702) 712-3591
- NPI assigned
- Jun 12, 2026
- Last updated
- Jun 12, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Nichelle Shenita Coleman, BEHAVIORAL HEALTH PR
- Title
- Founder
- Phone
- (702) 712-3591
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1800 Baywood Dr Apt 204
Corona, CA 92881-3333
Mailing address
1800 Baywood Dr Apt 204
Corona, CA 92881-3333
Phone (702) 712-3591
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Health & Wellness Coach
- Los Angeles, CA
- NPI 1801633391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781222400000",
"number": "1508790536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 BAYWOOD DR APT 204",
"city": "CORONA",
"state": "CA",
"postal_code": "928813333",
"telephone_number": "702-712-3591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 BAYWOOD DR APT 204",
"city": "CORONA",
"state": "CA",
"postal_code": "928813333",
"telephone_number": "702-712-3591"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NICKI'S STAAFLY MINDSET MOMENTS",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-12",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A",
"authorized_official_last_name": "COLEMAN",
"authorized_official_first_name": "NICHELLE",
"authorized_official_middle_name": "SHENITA",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "702-712-3591",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "BEHAVIORAL HEALTH PR"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.