Lifetime Wellness, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

992045 Issued in CO

Legal business name

LIFETIME WELLNESS, INC.

Practice address

1675 Upland Ave
Boulder, CO 80304-0830

Phone

(303) 589-6802

NPI assigned

Aug 5, 2007

Organization subpart

No

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

Authorized official

Name

Diane B Byington, LCSWNPI 1518158583

Title

President

Phone

(303) 589-6802

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diane B. Byington, PH.D.

  • Clinical Social Worker
  • Boulder, CO
  • NPI 1518158583
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1174714265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 876",
            "city": "NIWOT",
            "state": "CO",
            "postal_code": "805440876",
            "telephone_number": "303-589-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 UPLAND AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803040830",
            "telephone_number": "303-589-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "BYINGTON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-589-6802",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "992045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila K Liewald, L.AC.
• Life'S Hope Therapeutic Services PLLC
• Lifecycle Acupuncture
• Lifesport Chiropractic Chiropractic LLC
• Lifetime Wellness of Boulder LLC
• William C Lillydahl, M.D.
• Li Lin
• Andrew Linares, MA
• Linda Ciampoli, LLC
• Brooke Lindahl

• Community/Behavioral Health Agency in Boulder, CO
• Providers in Boulder, CO by specialty
• Community/Behavioral Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; 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.