Nicole Beasley, PHD

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

NICOLE BEASLEY, PHD

Practice address

1727 Yorktown Dr
Charlottesville, VA 22901-3035

Phone

(415) 336-5343

NPI assigned

Jun 8, 2026

Last updated

Jun 8, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicole Wordlaw, PHD

Title

Coach

Phone

(415) 336-5343

Specialties & licenses 1

Addresses

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.

• Nicole Beasley, PH.D.

  • Clinical Psychologist
  • Pleasant Hill, CA
  • NPI 1649421421
  NPD

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

{
    "created_epoch": "1780876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1922931922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 YORKTOWN DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229013035",
            "telephone_number": "415-336-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 YORKTOWN DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229013035",
            "telephone_number": "415-336-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE BEASLEY, PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-08",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "WORDLAW",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "COACH",
        "authorized_official_telephone_number": "415-336-5343",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Demetrious Tra Nicholson
• Kendra L Nicholson, OT
• Arash Nickkholgh, M.D.
• Michael Nicksic, MD
• Manal Nicolas-Jilwan, M.D.
• Darlene Nicoletti, DDS
• Barbara L. Nidiffer, OT/L
• Dinah Hays Nieburg, PH.D.
• Phillip Irwin Nieburg, MD, MPH
• Mark D Niehaus, MD

• Health & Wellness Coach in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Health & Wellness Coach in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.

Verify at the official NPI Registry.