LIFESTYLE WELLNESS LLC
NPI 1750016192
Nurse Practitioner in Prescott Valley, AZ

NPI Status: Active since July 20, 2022

Contact Information

3192 N WINDSONG DR
PRESCOTT VALLEY, AZ
ZIP 86314
Phone: (928) 288-0500

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  • Organization
  • Nurse Practitioner

About LIFESTYLE WELLNESS LLC

This page provides the complete NPI Profile along with additional information for Lifestyle Wellness Llc, a provider established in Prescott Valley, Arizona operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1750016192 assigned on July 2022. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mrs. Colleen Petullo Np (Nurse Practitioner)

NPI
1750016192
Provider Name
LIFESTYLE WELLNESS LLC
Entity Type
Organization
Location Address
3192 N WINDSONG DR PRESCOTT VALLEY, AZ 86314
Location Phone
(928) 288-0500
Mailing Address
3192 N WINDSONG DR PRESCOTT VALLEY, AZ 86314
Mailing Phone
(928) 288-0500
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-20-2022
Last Update Date
08-22-2022
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A nurse practitioner (NP) like Lifestyle Wellness Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. COLLEEN PETULLO NP

Authorized Official Title
NURSE PRACTITIONER
Authorized Official Phone
(928) 288-0500

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750016192
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271000112118
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 0 + 1 + 1 + 2 + 1 + 1 + 8 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1750016192 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1396241394DR. JEROME ALEXANDER LONGORIA DC
Individual
Chiropractor3192 N WINDSONG DR
PRESCOTT VALLEY, AZ 86314
(928) 288-0500
1003313024LIFESTYLE CHIROPRACTIC LLC
Organization
Chiropractor3192 N WINDSONG DR
PRESCOTT VALLEY, AZ 86314
(928) 288-0500
1700508322 CHRISTINE WRIGHT
Individual
Massage Therapist3192 N WINDSONG DR
PRESCOTT VALLEY, AZ 86314
(928) 288-0500
1356125785 TANYA RENAE GREEN MT
Individual
Massage Therapist3192 N WINDSONG DR
PRESCOTT VALLEY, AZ 86314
(928) 288-0500
1750151239 CLAUDIA ADRIANA MAGDA
Individual
Massage Therapist3192 N WINDSONG DR
PRESCOTT VALLEY, AZ 86314
(928) 288-0500
1255153839 KAYLYNN NICOLE JANULEWICZ LMT
Individual
Massage Therapist3192 N WINDSONG DR
PRESCOTT VALLEY, AZ 86314
(928) 288-0500
1871317297 LORI L MCDONALD LMT
Individual
Massage Therapist3192 N WINDSONG DR
PRESCOTT VALLEY, AZ 86314
(928) 288-0500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750016192, enumerated in the NPI registry as an "organization" on July 20, 2022

The provider is located at 3192 N Windsong Dr Prescott Valley, Az 86314 and the phone number is (928) 288-0500

This medical organization specializes in Nurse Practitioner with taxonomy code 363L00000X

This NPI record was last updated on July 20, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.