Active NPI
Nicole Staudt
- Health & Wellness Coach
- Redondo Beach, CA
National Provider Identifier
1710896394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Practice address
- 2418 Vanderbilt LN Apt a
Redondo Beach, CA 90278-3231 - Phone
- (502) 667-0325
- NPI assigned
- Sep 1, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | Primary |
Addresses
Primary practice location
2418 Vanderbilt LN Apt a
Redondo Beach, CA 90278-3231
Mailing address
2418 Vanderbilt LN Apt a
Redondo Beach, CA 90278-3231
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1710896394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2418 VANDERBILT LN APT A",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902783231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2418 VANDERBILT LN APT A",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902783231",
"telephone_number": "502-667-0325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAUDT",
"first_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-01",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"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 Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.