Organization Active NPI

Lovelife Nutrition and Wellness

  • Health Service Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1912482076
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
LOVELIFE NUTRITION AND WELLNESS
Practice address
1712 Tulip St
Philadelphia, PA 19125-2427
Phone
(484) 280-9239
Fax
(267) 573-3071
NPI assigned
Sep 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Authorized official

Name
Ms. Veronica Bersani, MPH,RDN,LDN
Title
Owner
Phone
(267) 939-4349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1712 Tulip St
Philadelphia, PA 19125-2427

Mailing address

1712 Tulip St
Philadelphia, PA 19125-2427
Phone (484) 280-9239

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1912482076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 TULIP ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191252427",
            "telephone_number": "484-280-9239",
            "fax_number": "267-573-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 TULIP ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191252427",
            "telephone_number": "484-280-9239",
            "fax_number": "267-573-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVELIFE NUTRITION AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-25",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "BERSANI",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-939-4349",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPH,RDN,LDN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.