Nicole Alexandra Sellers-Hansen, R.D.N

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86054096 Issued in CA

Practice address

13488 Maxella Ave
Apt 364
Marina del Rey, CA 90292-4300

Phone

(410) 925-9648

NPI assigned

Dec 18, 2015

Last updated

Dec 18, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450396800000",
    "number": "1659736551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13488 MAXELLA AVE",
            "address_2": "APT 364",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902924300",
            "telephone_number": "410-925-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13488 MAXELLA AVE",
            "address_2": "APT 364",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902924300",
            "telephone_number": "410-925-9648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLERS-HANSEN",
        "first_name": "NICOLE",
        "middle_name": "ALEXANDRA",
        "credential": "R.D.N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-18",
        "last_updated": "2015-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86054096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Allen Scott, D.D.S.
• Whitney Scott, RDHAP
• Rita Seiden, L.C.S.W.
• Select CS Physical Therapy, P.C. (Select Physical Therapy)
• Dene Logan Selkin
• Mary D Senatore
• James Daffin Senechal, MD
• Harshil Shah
• Gina Shaker, DDS
• Joel Shapiro, M.D.

• Registered Dietitian in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.