Nest Life Colorado, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

NEST LIFE COLORADO, LLC

Practice address

200 Union Blvd Ste 200
Lakewood, CO 80228-1831

Phone

(727) 201-2389

NPI assigned

Dec 23, 2020

Organization subpart

No

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

Authorized official

Name

Jennifer Phelps, BCBA

Title

Ceo

Phone

(727) 201-2223

Specialties & licenses 1

Addresses

Other names 1

• LifeTribe Colorado, LLC Former legal business name

Locations

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1992392997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 CENTRAL AVE STE 800",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013984",
            "telephone_number": "727-201-2389",
            "fax_number": "855-224-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UNION BLVD STE 200",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281831",
            "telephone_number": "727-201-2389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5100 1st Ave N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337108102",
            "country_code": "US",
            "telephone_number": "727-201-2223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEST LIFE COLORADO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-23",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-201-2223",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeTribe Colorado, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "LifeTribe Colorado, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Catherine Nelson, CAS
• Gina Marie Nelson, MD
• Jeffrey Nelson, LCSW
• Robert C Nelson, DC, DACBSP
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• Sarah Nestlehut
• Miranda Suzanne Neu, AGPCNP-BC
• Rachelle Neu
• Neu4Nutrition
• Alissa Neubauer

• Behavior Analyst in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Behavior Analyst in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.