Lifetime Health Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038012736 Issued in IL

Legal business name

LIFETIME HEALTH CHIROPRACTIC, LLC

Practice address

7501 N University St Ste 220
Peoria, IL 61614-1258

Phone

(309) 713-1791

Fax

(309) 713-1791

NPI assigned

Dec 30, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Sarah Enid Nieves, D.C.

Title

Doctor of Chiropractic / Physician

Phone

(309) 713-1791

Specialties & licenses 1

Addresses

Other names 1

• Lifetime Health Chiropractic Other name

Locations

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1023473386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 N UNIVERSITY ST STE 220",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141258",
            "telephone_number": "309-713-1791",
            "fax_number": "309-713-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 N UNIVERSITY ST STE 220",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141258",
            "telephone_number": "309-713-1791",
            "fax_number": "309-713-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME HEALTH CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "NIEVES",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "ENID",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC / PHYSICIAN",
        "authorized_official_telephone_number": "309-713-1791",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifetime Health Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michelle Lidvall, CRNA
• Matthew Liesen, DMD
• Life Balance Counseling Peoria, PLLC
• Life Transformation Counseling, LLC
• Lifetime Dental Care of Illinois, PC
• Jacquelyn M Liggett, SLP
• Amy M. Light, LCPC
• Benjamin Leroy Light, OCULARIST APPRENTICE
• Jennifer Marie Light, M.D.
• Randy L Light, B.C.O., B.A.D.O.

• Chiropractor in Peoria, IL
• Providers in Peoria, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.