Organization Active NPI

Lifearts Medical LLC

  • Family Nurse Practitioner
  • Plattsmouth, NE
National Provider Identifier
1316235989
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
111219 Issued in NE
Legal business name
LIFEARTS MEDICAL LLC
Practice address
546 Avenue a
Suite 2
Plattsmouth, NE 68048-1993
Phone
(402) 296-2196
Fax
(402) 296-2197
NPI assigned
Jul 18, 2011
Organization subpart
Yes
Parent organization
LIFEARTS INTEGRATED HEALTH CENTER PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Authorized official

Name
Julie M HowardNPI 1679549687
Title
Owner
Phone
(402) 296-2196

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 111219 NE Primary

Addresses

Primary practice location

546 Avenue a
Suite 2
Plattsmouth, NE 68048-1993

Mailing address

546 Avenue a
Suite 2
Plattsmouth, NE 68048-1993
Phone (402) 296-2196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110805000503 NE Part B Supplier - Clinic/Group Practice 9638348725 Receives reassigned benefits from 1 practitioner
Practice locations: Plattsmouth, NE

National Provider Directory

National Provider Directory
Part of
Lifearts Integrated HLTH PC

Locations

306 N 7th St
Ste 2
Plattsmouth, NE 68048

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565568000000",
    "number": "1316235989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 AVENUE A",
            "address_2": "SUITE 2",
            "city": "PLATTSMOUTH",
            "state": "NE",
            "postal_code": "680481993",
            "telephone_number": "402-296-2196",
            "fax_number": "402-296-2197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 AVENUE A",
            "address_2": "SUITE 2",
            "city": "PLATTSMOUTH",
            "state": "NE",
            "postal_code": "680481993",
            "telephone_number": "402-296-2196",
            "fax_number": "402-296-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEARTS MEDICAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFEARTS INTEGRATED HEALTH CENTER PC",
        "enumeration_date": "2011-07-18",
        "last_updated": "2019-08-12",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-296-2196"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "111219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsmouth, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.