What is Nicole Derse's NPI number?

Nicole Derse's National Provider Identifier (NPI) is 1073089934, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Nicole Derse's specialty?

Nicole Derse is listed in the NPPES registry with a primary specialty of Nutritionist (Dietary & Nutritional Service Providers).

Where is Nicole Derse located?

Nicole Derse's practice location on file with NPPES is 308 E Glendale Ave, Appleton, WI 54911-2907.

What is Nicole Derse's phone number?

The practice phone number listed in the NPPES registry for Nicole Derse is (920) 322-5115.

Is Nicole Derse's NPI active?

Yes — Nicole Derse's NPI (1073089934) is active in the NPPES registry as of the last update on 2018-10-18.

IndividualActive

Nicole Derse, CNC

NPI 1073089934 · Nutritionist · Appleton, WI

Nicole Derse, CNC is a Nutritionist provider in Appleton, WI (NPI 1073089934).

Provider details

NPI number: 1073089934
Entity type: Individual
Primary specialty: NutritionistDietary & Nutritional Service Providers
Credential: CNC
Sex: Female
Sole proprietor: No
License: 12D577516 (WI)

Specialties & taxonomies

NutritionistPrimary133N00000XLicense 12D577516 (WI)
Dietary & Nutritional Service Providers

Profile Score

Established profile(68/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
7 yrs in NPPES registry
Profile completeness38% of score
100% 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

308 E Glendale Ave

Appleton, WI 54911-2907

Phone: (920) 322-5115

Street-level locationGet directions

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Mailing address