ACTIVE LIFE MEDICAL
NPI 1891520631
Registered Nurse - Wound Care in Reno, NV

Q: What is Active Life Medical's NPI number?

The NPI number for Active Life Medical is 1891520631. It was assigned to this organization in the NPPES registry on September 3, 2024.

Q: What is Active Life Medical's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Wound Care, with taxonomy code 163WW0000X.

Active since September 03, 2024

971 W MOANA LN, RENO, NV 89509(775) 842-0065 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Active Life Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ACTIVE LIFE MEDICAL (NPI 1891520631) is a healthcare organization registered as a wound care in Reno, Nevada and active in the NPI registry since September 2024. The organization lists Edith Berejnaya, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1891520631

Entity TypeOrganization

Primary Taxonomy163WW0000X

Legal Business NameACTIVE LIFE MEDICAL

Location Address971 W MOANA LNReno, NV 89509-4844

Mailing Address971 W Moana LnReno, NV 89509-4844 · (775) 842-0065

Phone(775) 842-0065

Organization SubpartNo

Authorized OfficialEdith BerejnayaCo-owner · (775) 848-6085

Enumeration DateSeptember 3, 2024

NPPES CertifiedAugust 30, 2024

✔ NPI 1891520631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Wound CareNursing Service Providers

Taxonomy Code163WW0000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

971 W MOANA LN, Reno, NV 89509

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAMELA CORSON MD

Non-Pharmacy Dispensing Site

971 W MOANA LN
RENO, NV 89509

Washoe County (775) 829-7999

ACTIVE LIFE INTEGRATED HEALTH

Chiropractor

971 W MOANA LN
RENO, NV 89509

Washoe County (775) 870-0914

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Active Life Medical's NPI number?

The NPI number for Active Life Medical is 1891520631. It was assigned to this organization in the NPPES registry on September 3, 2024.

Where is Active Life Medical located?

Active Life Medical is located at 971 W Moana Ln, Reno, NV 89509. The listed phone number is (775) 842-0065.

What is Active Life Medical's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Wound Care, with taxonomy code 163WW0000X.

When was this NPI record last updated?

The NPPES record for Active Life Medical was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.