Life Refined Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002871A Issued in IN

Legal business name

LIFE REFINED CHIROPRACTIC, LLC

Practice address

14214 Valley Crest CT
Fishers, IN 46040

Phone

(701) 340-7234

NPI assigned

Jul 19, 2017

Organization subpart

Yes

Parent organization

LEGACY IMPACT LLCAs reported in NPPES

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

Authorized official

Name

Dr. Staci Jean Blume

Title

Partner

Phone

(317) 674-8857

Specialties & licenses 1

Addresses

Other names 1

• Life Refined Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

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

• Nate Adam Blume, D.C.

  • Chiropractor
  • Indianapolis, IN
  • NPI 1992853725
  Medicare reassignment NPD

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1629591979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14297 BERGEN BLVD STE 100",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460603383",
            "telephone_number": "317-674-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14214 VALLEY CREST CT",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "46040",
            "telephone_number": "701-340-7234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14214 Valley Crest Ct",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "460404404",
            "country_code": "US",
            "telephone_number": "701-340-7234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14214 Valley Crest Ct",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "460404404",
            "country_code": "US",
            "telephone_number": "701-340-7234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFE REFINED CHIROPRACTIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEGACY IMPACT LLC",
        "enumeration_date": "2017-07-19",
        "last_updated": "2022-07-21",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "BLUME",
        "authorized_official_first_name": "STACI",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "317-674-8857",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002871A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Refined Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Life Refined Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denisha Lewis
• Samantha Lewis
• Kathryn I Li, RPH
• Christine M Liedtke, PSY.D., HSPP
• Nicole Marie Liedtke, LCSW, LCAC
• Lifestyle Mobility Plus, Inc.
• Lifetime Dental Care of Indiana, PC
• Rita S Liming, NP
• Robert J Lindeman, MD
• Jennifer Lynn Lindemood

• Chiropractor in Fishers, IN
• Providers in Fishers, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.