Organization Active NPI

Marshall Lifestyle Medicine, PSC

  • General Practice Physician
  • Lexington, KY
National Provider Identifier
1306240049
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MARSHALL LIFESTYLE MEDICINE, PSC
Practice address
2251 War Admiral Way
Suite 125
Lexington, KY 40509-2546
Phone
(859) 608-4841
NPI assigned
Oct 9, 2014
Last updated
Sep 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Authorized official

Name
Joyce Johnson, CMA (AAMA)
Title
Director of Clinical Operations
Phone
(859) 382-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

2251 War Admiral Way
Suite 125
Lexington, KY 40509-2546

Mailing address

2251 War Admiral Way Ste 125
Lexington, KY 40509-2546
Phone (859) 554-8486

National Provider Directory

National Provider Directory

Locations

2251 War Admiral Way
Ste 125
Lexington, KY 40509
Phone (859) 335-9041

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1306240049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 WAR ADMIRAL WAY STE 125",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092546",
            "telephone_number": "859-554-8486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 WAR ADMIRAL WAY",
            "address_2": "SUITE 125",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092546",
            "telephone_number": "859-608-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL LIFESTYLE MEDICINE, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "859-382-1500",
        "authorized_official_credential": "CMA (AAMA)"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; 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.