IndividualActive
Kellen Ibiza, CNC
NPI 1043933021 · Health & Wellness Coach · North Prairie, WI
Kellen Ibiza, CNC is a Health & Wellness Coach provider in North Prairie, WI (NPI 1043933021).
Provider details
- NPI number
- 1043933021
- Entity type
- Individual
- Primary specialty
- Health & Wellness CoachOther Service Providers
- Credential
- CNC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
108 N Harrison St
North Prairie, WI 53153-9791
Phone: (312) 826-6073
Street-level locationGet directions
Mailing address
108 N Harrison St
North Prairie, WI 53153-9791
Registry dates
- Enumerated
- 2022-09-23
- Last updated
- 2022-09-23
- Certified
- 2022-09-23
Frequently asked questions
- What is Kellen Ibiza's NPI number?
- Kellen Ibiza's National Provider Identifier (NPI) is 1043933021, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kellen Ibiza's specialty?
- Kellen Ibiza is listed in the NPPES registry with a primary specialty of Health & Wellness Coach (Other Service Providers).
- Where is Kellen Ibiza located?
- Kellen Ibiza's practice location on file with NPPES is 108 N Harrison St, North Prairie, WI 53153-9791.
- What is Kellen Ibiza's phone number?
- The practice phone number listed in the NPPES registry for Kellen Ibiza is (312) 826-6073.
- Is Kellen Ibiza's NPI active?
- Yes — Kellen Ibiza's NPI (1043933021) is active in the NPPES registry as of the last update on 2022-09-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.