Elise Noelle Cusimano, NBC-HWC, RYT

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

License

A-3086754 Issued in CT

Practice address

2 Tunxis Rd Ste 116
Tariffville, CT 06081-9687

Phone

(716) 450-3012

NPI assigned

Mar 30, 2020

Last updated

Oct 31, 2024By 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 2

Addresses

Other identifiers 1

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": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1689202335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 HILLTOP DR",
            "city": "WEATOGUE",
            "state": "CT",
            "postal_code": "060899664",
            "telephone_number": "716-450-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TUNXIS RD STE 116",
            "city": "TARIFFVILLE",
            "state": "CT",
            "postal_code": "060819687",
            "telephone_number": "716-450-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSIMANO",
        "first_name": "ELISE",
        "middle_name": "NOELLE",
        "name_prefix": "Miss",
        "credential": "NBC-HWC, RYT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "CT",
            "license": "A-3086754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811520810",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Health & Wellness Coach in Tariffville, CT
• Providers in Tariffville, CT by specialty
• Health & Wellness Coach in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.