Nest Life, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

NEST LIFE, LLC

Practice address

360 Central Ave Ste 800
St Petersburg, FL 33701-3984

Phone

(727) 201-2389

Fax

(855) 224-4326

NPI assigned

Nov 19, 2019

Organization subpart

No

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

Authorized official

Name

Jennifer Phelps, BCBANPI 1659520526

Title

President/Ceo

Phone

(727) 201-2309

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Jennifer Rose Phelps, M.S., BCBA

  • Behavior Analyst
  • St Petersburg, FL
  • NPI 1659520526
  NPD Authorized official

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1295371896",
    "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": "360 CENTRAL AVE STE 800",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013984",
            "telephone_number": "727-201-2389",
            "fax_number": "855-224-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEST LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-19",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "727-201-2309",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109269900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacey Nemeth Roberts
• David John Nemitz Jr., LMT
• Robert Lynn Neri, LMHC, CAP
• Alisha Nesbittt
• Kristen Elizabeth Nesser, CRNA
• Gregory W Nestor, MD
• Nestoraba, LLC
• Erika Nettelhorst, M.S.
• Lauren Elizabeth Neumann, LCSW
• Mandy Neumann, ARNP

• Behavior Analyst in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.