Organization Active NPI

Lifetime Wellness Chiropractic of Western New York

  • Nutrition Chiropractor
  • Rochester, NY
National Provider Identifier
1124487194
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
012270 Issued in NY
Legal business name
LIFETIME WELLNESS CHIROPRACTIC OF WESTERN NEW YORK
Practice address
1580 Elmwood Ave
Suite 1a
Rochester, NY 14620-3620
Phone
(585) 471-5919
NPI assigned
Feb 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Authorized official

Name
Dr. Rachel Meegan-Iacchetta, D.C.NPI 1518303114
Title
Manager
Phone
(585) 471-5919

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
Nutrition ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN1001X 012270 NY Primary

Addresses

Primary practice location

1580 Elmwood Ave
Suite 1a
Rochester, NY 14620-3620

Mailing address

1580 Elmwood Ave
Suite 1a
Rochester, NY 14620-3620
Phone (585) 471-5919

National Provider Directory

National Provider Directory

Locations

1580 Elmwood Ave
Ste 1A
Rochester, NY 14620
Phone (585) 471-5919

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": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1124487194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 ELMWOOD AVE",
            "address_2": "SUITE 1A",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146203620",
            "telephone_number": "585-471-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 ELMWOOD AVE",
            "address_2": "SUITE 1A",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146203620",
            "telephone_number": "585-471-5919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME WELLNESS CHIROPRACTIC OF WESTERN NEW YORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "MEEGAN-IACCHETTA",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "585-471-5919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "NY",
            "license": "012270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.