Lifespan Family Care, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

13170 Issued in TN

Legal business name

LIFESPAN FAMILY CARE, LLC

Practice address

4106 Lost Oak Dr
Ooltewah, TN 37363-8438

Phone

(423) 309-3934

Fax

(423) 499-8616

NPI assigned

Jan 6, 2011

Organization subpart

No

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

Authorized official

Name

Kate E Estella

Title

Apn

Phone

(423) 309-3934

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.

• Kate E Estella-Walter, ANP

  • Nurse Practitioner
  • Chattanooga, TN
  • NPI 1639347180
  NPD (past)

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1306140264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4106 LOST OAK DR",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373638438",
            "telephone_number": "423-309-3934",
            "fax_number": "423-499-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4106 LOST OAK DR",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373638438",
            "telephone_number": "423-309-3934",
            "fax_number": "423-499-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN FAMILY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-06",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "ESTELLA",
        "authorized_official_first_name": "KATE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "APN",
        "authorized_official_telephone_number": "423-309-3934"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "13170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Ooltewah, TN
• Providers in Ooltewah, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.