Organization Active NPI

Lifestyle Foundations Inc

Doing business as Warner Injury & Chiropractic Center

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1164164646
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LIFESTYLE FOUNDATIONS INC
Doing business as
Warner Injury & Chiropractic Center
Practice address
155 Printers Pkwy Ste 110
Colorado Springs, CO 80910-6101
Phone
(719) 574-5500
Fax
(719) 471-9053
NPI assigned
Apr 13, 2022
Last updated
Apr 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Authorized official

Name
Mrs. Erica Claudine Wilkerson
Title
Director of Operations
Phone
(719) 574-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

155 Printers Pkwy Ste 110
Colorado Springs, CO 80910-6101

Mailing address

155 Printers Pkwy Ste 110
Colorado Springs, CO 80910-6101
Phone (719) 574-5500

Other names 1

  • Warner Injury & Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220502001432 CO Part B Supplier - Clinic/Group Practice 6608263173 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

155 Printers Pkwy
Ste 110
Colorado Springs, CO 80910
Phone (719) 574-5500

Practitioners & affiliated clinicians

Practitioners 4

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": "1649808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1164164646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 PRINTERS PKWY STE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809106101",
            "telephone_number": "719-574-5500",
            "fax_number": "719-471-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 PRINTERS PKWY STE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809106101",
            "telephone_number": "719-574-5500",
            "fax_number": "719-471-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE FOUNDATIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "WILKERSON",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "CLAUDINE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "719-574-5500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Warner Injury & Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.