Active NPI
Life Changes, Inc.
- Prevention Professional
- Reno, NV
National Provider Identifier
1720611304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- 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, 2020
- 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
- Nathan Jersey, MSCJ, PS
- Title
- Program Evaluator
- Phone
- (775) 200-8827
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.