NPIMap

Organization Active NPI

Nest Life Virginia, LLC

  • Behavior Analyst
  • Mechanicsville, VA
National Provider Identifier
1003583873
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
NEST LIFE VIRGINIA, LLC
Practice address
5951 Dugout Ter
Mechanicsville, VA 23111-4570
Phone
(727) 201-2389
Fax
(855) 224-4326
NPI assigned
Aug 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Authorized official

Name
Jennifer Phelps
Title
Ceo/Co-Founder
Phone
(727) 201-2389

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

5951 Dugout Ter
Mechanicsville, VA 23111-4570

Mailing address

360 Central Ave Ste 800
St Petersburg, FL 33701-3984
Phone (727) 201-2389

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1003583873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 CENTRAL AVE STE 800",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013984",
            "telephone_number": "727-201-2389",
            "fax_number": "855-224-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5951 DUGOUT TER",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231114570",
            "telephone_number": "727-201-2389",
            "fax_number": "855-224-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEST LIFE VIRGINIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CEO/CO-FOUNDER",
        "authorized_official_telephone_number": "727-201-2389"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.