Active NPI
Lifestyle Inversion LLC
- Registered Dietitian
- Maricopa, AZ
National Provider Identifier
1740060490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- LIFESTYLE INVERSION LLC
- Practice address
- 21425 N Goles Dr
Maricopa, AZ 85138-9329 - Phone
- (480) 529-1025
- NPI assigned
- Oct 2, 2023
- 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
- Ms. Kelly Lynn Myszewski, RD
- Title
- Registered Dietitian
- Phone
- (480) 529-1025
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
21425 N Goles Dr
Maricopa, AZ 85138-9329
Mailing address
21425 N Goles Dr
Maricopa, AZ 85138-9329
Phone (480) 529-1025
Other names 1
- Lifestyle Inversion LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696204800000",
"number": "1740060490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21425 N GOLES DR",
"city": "MARICOPA",
"state": "AZ",
"postal_code": "851389329",
"telephone_number": "480-529-1025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21425 N GOLES DR",
"city": "MARICOPA",
"state": "AZ",
"postal_code": "851389329",
"telephone_number": "480-529-1025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFESTYLE INVERSION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-02",
"last_updated": "2023-10-02",
"certification_date": "2023-10-01",
"status": "A",
"authorized_official_last_name": "MYSZEWSKI",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "480-529-1025",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lifestyle Inversion LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Maricopa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.