Organization Active NPI

Advanced Lifestyle Solutions PLLC

  • General Practice Physician
  • Frisco, TX
National Provider Identifier
1043824543
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ADVANCED LIFESTYLE SOLUTIONS PLLC
Practice address
9560 Legacy Dr Ste 260
Frisco, TX 75033-6753
Phone
(469) 486-3811
NPI assigned
Sep 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Authorized official

Name
Rita Pannell
Title
Operatin Manager
Phone
(214) 310-6763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

9560 Legacy Dr Ste 260
Frisco, TX 75033-6753

Mailing address

1162 Honey CRK
New Braunfels, TX 78132-3453
Phone (214) 310-6763

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1043824543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1162 HONEY CRK",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781323453",
            "telephone_number": "214-310-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9560 LEGACY DR STE 260",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750336753",
            "telephone_number": "469-486-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED LIFESTYLE SOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2022-01-10",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "PANNELL",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "OPERATIN MANAGER",
        "authorized_official_telephone_number": "214-310-6763"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.