Active NPI
Nuwell Life
- Nutrition Education Nutritionist
- Henderson, NV
National Provider Identifier
1316650971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- Legal business name
- NUWELL LIFE
- Practice address
- 3388 Dalmore St
Henderson, NV 89044-1722 - Phone
- (844) 468-9355
- NPI assigned
- Dec 28, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Traci Meadows, MS, CNC, PHD CAND.
- Title
- Owner
- Phone
- (936) 776-8264
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | Primary |
Addresses
Primary practice location
3388 Dalmore St
Henderson, NV 89044-1722
Mailing address
280 W Lake Mead Pkwy # 1099
Henderson, NV 89015-7367
Phone (844) 468-9355
National Provider Directory
National Provider DirectoryLocations
280 W Lake Mead Pkwy
#1099
Henderson, NV 89015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672358400000",
"number": "1316650971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 W LAKE MEAD PKWY # 1099",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890157367",
"telephone_number": "844-468-9355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3388 DALMORE ST",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890441722",
"telephone_number": "844-468-9355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUWELL LIFE",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-28",
"last_updated": "2022-12-30",
"certification_date": "2022-12-30",
"status": "A",
"authorized_official_last_name": "MEADOWS",
"authorized_official_first_name": "TRACI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "936-776-8264",
"authorized_official_credential": "MS, CNC, PHD CAND."
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.