Organization Active NPI

Lifeline Family Health & Wellness, PLLC

  • Primary Care Clinic/Center
  • Dallas, TX
National Provider Identifier
1073211959
Registry record updated Sep 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
LIFELINE FAMILY HEALTH & WELLNESS, PLLC
Practice address
9330 Poppy Dr Ste 500
Dallas, TX 75218-4612
Phone
(469) 384-7781
Fax
(469) 277-3000
NPI assigned
Feb 20, 2023
Last updated
Sep 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2025

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

Authorized official

Name
Shunkeetha Latrice Totsch, FNP-CNPI 1154734010
Title
Family Nurse Practitioner
Phone
(469) 384-7781

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

9330 Poppy Dr Ste 500
Dallas, TX 75218-4612

Mailing address

9330 Poppy Dr Ste 500
Dallas, TX 75218-4612
Phone (469) 384-7781

Other identifiers 1

IdentifierTypeStateIssuer
1154734010OtherTXOWNER NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230901002090 TX Part B Supplier - Clinic/Group Practice 5890158109 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2285745Lifeline Family Health & Wellness, PLLC9330 Poppy Dr Ste 500, Dallas, TX 75218Certificate of waiverJul 17, 2027

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758326400000",
    "number": "1073211959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 POPPY DR STE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752184612",
            "telephone_number": "469-384-7781",
            "fax_number": "469-277-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 POPPY DR STE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752184612",
            "telephone_number": "469-384-7781",
            "fax_number": "469-277-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE FAMILY HEALTH & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2025-09-20",
        "certification_date": "2025-09-20",
        "status": "A",
        "authorized_official_last_name": "TOTSCH",
        "authorized_official_first_name": "SHUNKEETHA",
        "authorized_official_middle_name": "LATRICE",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "469-384-7781",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWNER NPI",
            "identifier": "1154734010",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.