MS. NICOLE KRISTINA DERSE CNC
NPI 1073089934
Nutritionist in Appleton, WI

Q: What is Nicole Derse's NPI number?

The NPI number for Nicole Derse is 1073089934. It was assigned to this individual provider in the NPPES registry on October 18, 2018. The provider is also known as Nicole James Cfmp.

Q: What is Nicole Derse's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Derse was last updated on October 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 18, 2018

308 E GLENDALE AVE, APPLETON, WI 54911(920) 322-5115 Get Directions Write a Review

NPPES record last updated: October 18, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Nicole Kristina Derse Cnc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. NICOLE KRISTINA DERSE CNC (NPI 1073089934) is an individual nutritionist in Appleton, Wisconsin, licensed in Wisconsin (12D577516) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1073089934

Entity TypeIndividualFemale

Primary Taxonomy133N00000X

Provider Legal NameMS. NICOLE KRISTINA DERSECredential: CNC

Location Address308 E GLENDALE AVEAppleton, WI 54911-2907

Mailing Address308 E Glendale AveAppleton, WI 54911-2907 · (920) 322-5115

Phone(920) 322-5115

Sole ProprietorNo

Enumeration DateOctober 18, 2018

✔ NPI 1073089934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNutritionistDietary & Nutritional Service Providers

Taxonomy Code133N00000X

License✔ Licensed in WI · 12D577516

Definition

A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.

308 E GLENDALE AVE, Appleton, WI 54911

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Other Names 1

Professional Name (2)Nicole James Cfmp

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Derse's NPI number?

The NPI number for Nicole Derse is 1073089934. It was assigned to this individual provider in the NPPES registry on October 18, 2018. The provider is also known as Nicole James Cfmp.

Where is Nicole Derse located?

Nicole Derse practices at 308 E Glendale Ave, Appleton, WI 54911. The listed phone number is (920) 322-5115.

What is Nicole Derse's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

When was this NPI record last updated?

The NPPES record for Nicole Derse was last updated on October 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.