Organization Active NPI

Healthy Lifestyles PLLC

  • Clinical Social Worker
  • Allen, TX
National Provider Identifier
1740575638
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
42728 Issued in TX
Legal business name
HEALTHY LIFESTYLES PLLC
Practice address
1514 N Greenville Ave Ste 310
Allen, TX 75002-1205
Phone
(469) 854-1656
NPI assigned
Jun 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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

Authorized official

Name
Nimisha Patel, LCSW, RD/LDNPI 1326262346
Title
Managing Director
Phone
(469) 854-1656

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 42728 TX Primary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X DT80265 TX

Addresses

Primary practice location

1514 N Greenville Ave Ste 310
Allen, TX 75002-1205

Mailing address

1514 N Greenville Ave
Suite 310
Allen, TX 75002-1202
Phone (469) 854-1656

National Provider Directory

National Provider Directory

Locations

1514 N Greenville Ave
Ste 310
Allen, TX 75002
Phone (214) 547-1318

Practitioners & 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": "1308441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1740575638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 N GREENVILLE AVE",
            "address_2": "SUITE 310",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750021202",
            "telephone_number": "469-854-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 N GREENVILLE AVE STE 310",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750021205",
            "telephone_number": "469-854-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIFESTYLES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-19",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NIMISHA",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "469-854-1656",
        "authorized_official_credential": "LCSW, RD/LD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "42728",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT80265",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.