Organization Active NPI

Life Changes, Inc.

  • Prevention Professional
  • Reno, NV
National Provider Identifier
1720611304
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prevention ProfessionalTaxonomy code 405300000X
Legal business name
LIFE CHANGES, INC.
Practice address
1195 Kings Row
Reno, NV 89503-3524
Phone
(775) 685-8145
NPI assigned
Feb 21, 2020
Last updated
Feb 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Authorized official

Name
Nathan Jersey, MSCJ, PS
Title
Program Evaluator
Phone
(775) 200-8827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prevention Professional 405300000X NU Primary

Addresses

Primary practice location

1195 Kings Row
Reno, NV 89503-3524

Mailing address

PO Box 3137
Sparks, NV 89432-3137
Phone (775) 200-8827

Other practice location 1

541 W 2nd St
Reno, NV 89503-5310
Phone (775) 685-8145

Other practice location 2

1508 1st St
Sparks, NV 89431-3230
Phone (775) 685-8145

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1720611304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3137",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894323137",
            "telephone_number": "775-200-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 KINGS ROW",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895033524",
            "telephone_number": "775-685-8145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "541 W 2nd St",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895035310",
            "country_code": "US",
            "telephone_number": "775-685-8145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1508 1st St",
            "address_purpose": "LOCATION",
            "city": "Sparks",
            "state": "NV",
            "postal_code": "894313230",
            "country_code": "US",
            "telephone_number": "775-685-8145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFE CHANGES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "JERSEY",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "PROGRAM EVALUATOR",
        "authorized_official_telephone_number": "775-200-8827",
        "authorized_official_credential": "MSCJ, PS"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.