Active NPI
Priority One Lifestyle Management
- Primary Care Nurse Practitioner
- Reno, NV
National Provider Identifier
1871288787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- 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, 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
- Helmer Valdivia
- Title
- Executive Assistant
- Phone
- (775) 954-0067
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Family Medicine Physician
- Reno, NV
- NPI 1437679578
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.