Active NPI
The Lifespan Center
- Community Health Clinic/Center
- Yanceyville, NC
National Provider Identifier
1184227829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tanillya Partridge, NP-C
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Family Nurse Practitioner
- Yanceyille, NC
- NPI 1851645550
-
- Registered Nurse
- Yanceyville, NC
- NPI 1417514407
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.