Active NPI
Lifetime Connections Inc. Dba Advanced Wellness Connections
- Specialist
- Renton, WA
National Provider Identifier
1154449015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA 8877
- Legal business name
- LIFETIME CONNECTIONS INC. DBA ADVANCED WELLNESS CONNECTIONS
- Practice address
- 981 Powell Ave SW
Suite 130
Renton, WA 98057-2990 - Phone
- (425) 282-0406
- Fax
- (425) 282-0404
- NPI assigned
- Mar 27, 2007
- Organization subpart
- Yes
- Parent organization
- LIFETIME CONNECTIONS INC. DBA ADVANCED WELLNESS CONNECTIONS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nancy Haller, LMT, GCFP
- Title
- Owner
- Phone
- (425) 282-0406
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA 8877 | WA | Primary |
Addresses
Primary practice location
981 Powell Ave SW
Suite 130
Renton, WA 98057-2990
Mailing address
821 S. 219St #8
Des Moines, WA 98198
Phone (425) 282-0406
Other names 1
- Advanced Wellness Connections
National Provider Directory
National Provider Directory- Part of
- Lifetime Connections Inc Dba Advanced Wellness Connections
Locations
981 Powell Ave SW
Ste 130
Renton, WA 98057
Phone (425) 282-0406
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Massage Therapist
- Des Moines, WA
- NPI 1649358573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708041600000",
"number": "1154449015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 S. 219ST #8",
"city": "DES MOINES",
"state": "WA",
"postal_code": "98198",
"telephone_number": "425-282-0406",
"fax_number": "206-824-7378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "981 POWELL AVE SW",
"address_2": "SUITE 130",
"city": "RENTON",
"state": "WA",
"postal_code": "980572990",
"telephone_number": "425-282-0406",
"fax_number": "425-282-0404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFETIME CONNECTIONS INC. DBA ADVANCED WELLNESS CONNECTIONS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LIFETIME CONNECTIONS INC. DBA ADVANCED WELLNESS CONNECTIONS",
"enumeration_date": "2007-03-27",
"last_updated": "2024-02-16",
"status": "A",
"authorized_official_last_name": "HALLER",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "425-282-0406",
"authorized_official_credential": "LMT, GCFP"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "WA",
"license": "MA 8877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Wellness Connections",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.