Organization Active NPI

The Lifespan Center

  • Community Health Clinic/Center
  • Yanceyville, NC
National Provider Identifier
1184227829
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
THE LIFESPAN CENTER
Practice address
293 Main St
Yanceyville, NC 27379-8781
Phone
(336) 694-1924
NPI assigned
Nov 17, 2020
Last updated
Nov 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Authorized official

Name
Tanillya Partridge, NP-CNPI 1851645550
Title
Ceo
Phone
(336) 694-1924

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
Community Health Clinic/Center 261QC1500X NU Primary

Addresses

Primary practice location

293 Main St
Yanceyville, NC 27379-8781

Mailing address

PO Box 3058
Roxboro, NC 27573-3058
Phone (336) 694-1924

National Provider Directory

National Provider Directory

Locations

293 Main St
Yanceyville, NC 27379
Phone (336) 504-6808

Practitioners & affiliated clinicians

Practitioners 2

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": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1184227829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3058",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275733058",
            "telephone_number": "336-694-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 MAIN ST",
            "city": "YANCEYVILLE",
            "state": "NC",
            "postal_code": "273798781",
            "telephone_number": "336-694-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIFESPAN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "PARTRIDGE",
        "authorized_official_first_name": "TANILLYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-694-1924",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yanceyville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.