Real Life Health, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

111990 Issued in NE

Legal business name

REAL LIFE HEALTH, LLC

Practice address

705 N 17TH Ave
Ashland, NE 68003-1209

Phone

(402) 944-8112

Fax

(866) 354-4020

NPI assigned

Nov 13, 2017

Last updated

Nov 13, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kristina L Smith, APRNNPI 1649636770

Title

Owner/Nurse Practitioner

Phone

(402) 944-8112

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18616/brand/1/csg/1/fhir/r4

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.

• Kristina Lyn Smith, N.P.

  • Adult Health Nurse Practitioner
  • Ashland, NE
  • NPI 1649636770
  Authorized official Same address or phone

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510531200000",
    "number": "1477066421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 COUNTY ROAD 7",
            "city": "ASHLAND",
            "state": "NE",
            "postal_code": "680031173",
            "telephone_number": "402-944-8112",
            "fax_number": "866-354-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 N 17TH AVE",
            "city": "ASHLAND",
            "state": "NE",
            "postal_code": "680031209",
            "telephone_number": "402-944-8112",
            "fax_number": "866-354-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL LIFE HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "402-944-8112",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NE",
            "license": "111990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson David Ostdiek
• Raelee D Permenter
• Pamela Ann Piening, OTR/L
• Lani C Polzin, PT
• Sarah Dawn Marie Rainey, DPT
• Revival Pharms Wellness
• Briana Reza Rivera
• Suzanne Marie Schofield, MA, LIMHP, LADC
• Delores Jean Shaffer, LPN
• Kayleen Nicole Sheppard, CMA/DA/CPR

• Primary Care Clinic/Center in Ashland, NE
• Providers in Ashland, NE by specialty
• Primary Care Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; 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.