Nichole Krueger

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

7426 S Lake Bluff O.5 Dr
Gladstone, MI 49837-2425

Phone

(906) 399-7807

NPI assigned

Jul 25, 2023

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

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1760163653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7426 S LAKE BLUFF O.5 DR",
            "city": "GLADSTONE",
            "state": "MI",
            "postal_code": "498372425",
            "telephone_number": "906-399-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7426 S LAKE BLUFF O.5 DR",
            "city": "GLADSTONE",
            "state": "MI",
            "postal_code": "498372425",
            "telephone_number": "906-399-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "NICHOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Marie Jarvey, REGISTERED NURSE
• Shanna Rae Jeffries
• Patrick Dean Johnson, D.C.
• G. Scott Kelly, DDS
• Erica Klope, MS, LAT, OTC
• Leah Lindahl
• Renee Coleen Loman, M.A. CCC-SLP
• Jacob Loveless
• Loving Embrace Birthing Collective LLC
• Halie Marie Marmalick, AT, LAT, ATC

• All providers in Gladstone, MI
• Health & Wellness Coach in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.