Organization Active NPI

Lifeworks Services, LLC

  • Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1275078164
Registry record updated Dec 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
LIFEWORKS SERVICES, LLC
Practice address
2917 Penn Forest Blvd
Roanoke, VA 24018-4304
Phone
(540) 989-3618
NPI assigned
Dec 30, 2016
Last updated
Dec 30, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDICAL FACILITIES OF AMERICAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 30, 2016

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

Authorized official

Name
Claude Novel Martin III
Title
Cfo
Phone
(540) 989-3618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

2917 Penn Forest Blvd
Roanoke, VA 24018-4304

Mailing address

2917 Penn Forest Blvd
Roanoke, VA 24018-4304

National Provider Directory

National Provider Directory
Part of
Medical Facilities of America

Practitioners & affiliated clinicians

Practitioners 1

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": "1483056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483056000000",
    "number": "1275078164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 PENN FOREST BLVD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 PENN FOREST BLVD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184304",
            "telephone_number": "540-989-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEWORKS SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL FACILITIES OF AMERICA",
        "enumeration_date": "2016-12-30",
        "last_updated": "2016-12-30",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CLAUDE",
        "authorized_official_middle_name": "NOVEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "540-989-3618",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.