Organization Active NPI

Priority One Lifestyle Management

  • Primary Care Nurse Practitioner
  • Reno, NV
National Provider Identifier
1871288787
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
PRIORITY ONE LIFESTYLE MANAGEMENT
Practice address
30 Mary St Ste 9
Reno, NV 89509-2865
Phone
(775) 954-0067
Fax
(775) 954-0067
NPI assigned
Apr 6, 2023
Last updated
Apr 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Authorized official

Name
Helmer Valdivia
Title
Executive Assistant
Phone
(775) 954-0067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X NU Primary

Addresses

Primary practice location

30 Mary St Ste 9
Reno, NV 89509-2865

Mailing address

30 Mary St Ste 9
Reno, NV 89509-2865
Phone (775) 954-0067

National Provider Directory

National Provider Directory

Locations

30 Mary St
Ste 9
Reno, NV 89509
Phone (775) 954-0067

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1871288787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MARY ST STE 9",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895092865",
            "telephone_number": "775-954-0067",
            "fax_number": "775-954-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MARY ST STE 9",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895092865",
            "telephone_number": "775-954-0067",
            "fax_number": "775-954-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY ONE LIFESTYLE MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "VALDIVIA",
        "authorized_official_first_name": "HELMER",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "775-954-0067"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "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 Apr 6, 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.

Verify at the official NPI Registry.