Organization Active NPI

Healthy Lifestyle Wellness Center Inc

  • Nutrition Chiropractor
  • McPherson, KS
National Provider Identifier
1093977241
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
Legal business name
HEALTHY LIFESTYLE WELLNESS CENTER INC
Practice address
400 W 1St St
McPherson, KS 67460-3315
Phone
(620) 241-9669
Fax
(620) 504-6204
NPI assigned
Jun 30, 2008
Last updated
Jun 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Dr. Tina M Guerrero, DAC, DC , BS MSNPI 1780846998
Title
President
Phone
(620) 241-9669

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X NU Primary
Acupuncturist 171100000X NU

Addresses

Primary practice location

400 W 1St St
McPherson, KS 67460-3315

Mailing address

400 W 1St St
McPherson, KS 67460-3315
Phone (620) 241-9669

National Provider Directory

National Provider Directory

Locations

400 W 1st St
McPherson, KS 67460
Phone (620) 241-5272

421 N Main St
McPherson, KS 67460
Phone (316) 241-2810

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": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1093977241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W 1ST ST",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674603315",
            "telephone_number": "620-241-9669",
            "fax_number": "620-504-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W 1ST ST",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674603315",
            "telephone_number": "620-241-9669",
            "fax_number": "620-504-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIFESTYLE WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "GUERRERO",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-241-9669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DAC, DC , BS MS"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McPherson, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.