Lifestyle Medicine ,LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LIFESTYLE MEDICINE ,LLC

Practice address

2309 Old Jeanerette Rd
New Iberia, LA 70563-3040

Phone

(337) 256-5317

NPI assigned

Feb 1, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Nicole Roberson

Title

Consultant

Phone

(337) 519-6304

Specialties & licenses 2

Addresses

Other names 1

• Lifestyle Medicine ,LLC Former legal business name

Practitioners 1

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

• Joan Walker, MD

  • Family Medicine Physician
  • Natchitoches, LA
  • NPI 1861484933
  NPD

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1255922217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 OLD JEANERETTE RD",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705633040",
            "telephone_number": "337-256-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 OLD JEANERETTE RD",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705633040",
            "telephone_number": "337-256-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE MEDICINE ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "337-519-6304",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifestyle Medicine ,LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Lifestyle Medicine ,LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Marquita Lewis
• Robert S Lewis, MD
• LHCG-XII, LLC
• Life Coast Community Health Center Inc
• Life Saver Non Emergency Transportation LLC
• Valerie Lightfoot
• Wayne T Lindemann, MD
• Lindsay Nicholson, LCSW, LLC
• John Kristian Lindsay, M.D.
• Edward J Lisecki, M.D.,

• Internal Medicine Physician in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.