Lifestyle Wellness LLC
NPI 1750016192 · Nurse Practitioner · Prescott Valley, AZ
Lifestyle Wellness LLC is a Nurse Practitioner organization in Prescott Valley, AZ (NPI 1750016192).
Provider details
- NPI number
- 1750016192
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Colleen Petullo, Nurse Practitioner(928) 288-0500
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Lifestyle Wellness LLC
Registry dates
- Enumerated
- 2022-07-20
- Last updated
- 2022-08-22
- Certified
- 2022-08-22
Frequently asked questions
- What is Lifestyle Wellness LLC's NPI number?
- Lifestyle Wellness LLC's National Provider Identifier (NPI) is 1750016192, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lifestyle Wellness LLC?
- Lifestyle Wellness LLC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Lifestyle Wellness LLC located?
- Lifestyle Wellness LLC's practice location on file with NPPES is 3192 N Windsong Dr, Prescott Valley, AZ 86314-2239.
- What is Lifestyle Wellness LLC's phone number?
- The practice phone number listed in the NPPES registry for Lifestyle Wellness LLC is (928) 288-0500.
- Who is the authorized official for Lifestyle Wellness LLC?
- The authorized official listed on Lifestyle Wellness LLC's NPPES record is Colleen Petullo, Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lifestyle Wellness LLC's NPI active?
- Yes — Lifestyle Wellness LLC's NPI (1750016192) is active in the NPPES registry as of the last update on 2022-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.