Organization Active NPI

Lifelines Center for Health PLLC

  • Family Medicine Physician
  • Lufkin, TX
National Provider Identifier
1134622905
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LIFELINES CENTER FOR HEALTH PLLC
Practice address
525 N Brentwood
Lufkin, TX 75904-7124
Phone
(936) 205-2778
Fax
(936) 873-8753
NPI assigned
Mar 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Authorized official

Name
Krista Gresham, NP
Title
Provider/Owner
Phone
(936) 205-2778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

525 N Brentwood
Lufkin, TX 75904-7124

Mailing address

525 N Brentwood
Lufkin, TX 75904-7124
Phone (936) 205-2778

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260309003093 TX Part B Supplier - Clinic/Group Practice 1355824327 Receives reassigned benefits from 1 practitioner
Practice locations: Lufkin, 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
45D2145085Lifelines Center for Health525 North Brentwood Drive, Lufkin, TX 75904Certificate of waiverAug 5, 2027

National Provider Directory

National Provider Directory

Locations

525 Gaslight Blvd
Lufkin, TX 75904
Phone (936) 632-0492

525 N Brentwood
Lufkin, TX 75904
Phone (936) 205-2778

Practitioners & affiliated clinicians

Practitioners 3

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": "1521244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1134622905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N BRENTWOOD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759047124",
            "telephone_number": "936-205-2778",
            "fax_number": "936-873-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N BRENTWOOD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759047124",
            "telephone_number": "936-205-2778",
            "fax_number": "936-873-8753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINES CENTER FOR HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-17",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "GRESHAM",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "936-205-2778",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.