Lifeway Health & Wellness LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

LIFEWAY HEALTH & WELLNESS LLC

Practice address

6469 Sycamore CT N
Maple Grove, MN 55369-6028

Phone

(763) 276-9443

Fax

(888) 440-6946

NPI assigned

Jul 7, 2023

Last updated

Jun 30, 2026By 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

Stacy Woodard, APRNNPI 1740776707

Title

Ceo

Phone

(763) 438-3814

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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.

• Stacy Adair Woodard

  • Family Nurse Practitioner
  • Maple Grove, MN
  • NPI 1740776707
  Medicare reassignment Care Compare group NPD Authorized official
• Erika Lindsey Kuis, FNP

  • Family Nurse Practitioner
  • Maple Grove, MN
  • NPI 1720546773
  Medicare reassignment Care Compare group NPD
• Rachel Grace Wingbermuehle, FNP-BC

  • Family Nurse Practitioner
  • Maple Grove, MN
  • NPI 1477329696
  NPD
• Catharine Davis Reed, M.D.

  • Pediatrics Physician
  • Eden Prairie, MN
  • NPI 1942273867
  NPD (past)

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1598443723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6469 SYCAMORE CT N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553696028",
            "telephone_number": "763-276-9443",
            "fax_number": "888-440-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6469 SYCAMORE CT N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553696028",
            "telephone_number": "763-276-9443",
            "fax_number": "888-440-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEWAY HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "WOODARD",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-438-3814",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber N Libby, LMFT
• Jocelyn Diane Libby, M.D.
• Liberty Oxygen and Home Care, Inc (Liberty Oxygen and Medical Equipment)
• Alexandra Lynn Liethen
• Lifehouse Medical Supply, LLC
• Jeannine Lilliberg, RN
• Caleb Duane Limesand, PT, DPT
• Limitless Minds LLC
• April M Lind, M.D.
• Holly Lindenfelser, PA-C

• Primary Care Clinic/Center in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Primary Care Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.