Organization Active NPI

Lifestyle Medical Group PLLC

Doing business as The Center for Natural Medicine

  • Family Medicine Physician
  • Nashville, TN
National Provider Identifier
1447497896
Registry record updated Jul 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO 0085 Issued in TN
Legal business name
LIFESTYLE MEDICAL GROUP PLLC
Doing business as
The Center for Natural Medicine
Practice address
4535 Harding Pike Ste 210
Nashville, TN 37205-2120
Phone
(615) 269-6355
Fax
(615) 269-6395
NPI assigned
Jan 7, 2009
Last updated
Jul 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2009

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

Authorized official

Name
Dr. Asa Andrew, D.C.
Title
Owner
Phone
(615) 269-6355

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 1894 TN
Nutrition Chiropractor 111NN1001X 2289 TN
Family Medicine Physician 207Q00000X DO 0085 TN Primary

Addresses

Primary practice location

4535 Harding Pike Ste 210
Nashville, TN 37205-2120

Mailing address

4535 Harding Pike Ste 210
Nashville, TN 37205-2120
Phone (615) 269-6355

Other names 1

  • The Center for Natural Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lifestyle Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4535 Harding Pike
Ste 210
Nashville, TN 37205
Phone (615) 269-6355

NPI Registry JSON

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246838400000",
    "number": "1447497896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 HARDING PIKE STE 210",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052120",
            "telephone_number": "615-269-6355",
            "fax_number": "615-269-6395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 HARDING PIKE STE 210",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052120",
            "telephone_number": "615-269-6355",
            "fax_number": "615-269-6395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-07-06",
        "status": "A",
        "authorized_official_last_name": "ANDREW",
        "authorized_official_first_name": "ASA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-269-6355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "TN",
            "license": "1894",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "TN",
            "license": "2289",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "DO 0085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center for Natural Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; 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.