Prosperity Life Style Co LLC

Primary specialty

NutritionistTaxonomy code 133N00000X

Legal business name

PROSPERITY LIFE STYLE CO LLC

Practice address

1601 Santa Monica St.
Kingsville, TX 78363-3458

Phone

(361) 355-5686

NPI assigned

Feb 18, 2025

Organization subpart

No

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

Authorized official

Name

Ms. Tania Kristine Lucas, CPT/CN

Title

Owner

Phone

(361) 355-5686

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1730984113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 SANTA MONICA ST.",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783633458",
            "telephone_number": "361-355-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SANTA MONICA ST.",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783633458",
            "telephone_number": "361-355-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERITY LIFE STYLE CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "TANIA",
        "authorized_official_middle_name": "KRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-355-5686",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPT/CN"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.