Active NPI
Lifeprint Health Inc.
- Geriatric Medicine (Internal Medicine) Physician
- Franklin, TN
National Provider Identifier
1639557002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- Legal business name
- LIFEPRINT HEALTH INC.
- Practice address
- 1009 Windcross CT
Franklin, TN 37067-2678 - Phone
- (615) 224-5440
- NPI assigned
- May 18, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Rex
- Title
- Chief Financial Officer
- Phone
- (952) 917-7423
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Adult Medicine Physician | 207QA0505X | |||
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | |||
| Internal Medicine Physician | 207R00000X | |||
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | Primary | ||
| General Practice Physician | 208D00000X | |||
| Physician Assistant | 363A00000X | |||
| Medical Physician Assistant | 363AM0700X | |||
| Nurse Practitioner | 363L00000X | |||
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Gerontology Nurse Practitioner | 363LG0600X | |||
| Primary Care Nurse Practitioner | 363LP2300X | |||
| Adult Health Clinical Nurse Specialist | 364SA2200X | |||
| Gerontology Clinical Nurse Specialist | 364SG0600X |
Addresses
Primary practice location
1009 Windcross CT
Franklin, TN 37067-2678
Mailing address
13625 Technology Dr
Eden Prairie, MN 55344-2252
Phone (952) 917-7423
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1435276800000",
"number": "1639557002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13625 TECHNOLOGY DR",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553442252",
"telephone_number": "952-917-7423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 WINDCROSS CT",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370672678",
"telephone_number": "615-224-5440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFEPRINT HEALTH INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-18",
"last_updated": "2015-06-26",
"status": "A",
"authorized_official_last_name": "REX",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "952-917-7423",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "364SA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "364SG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Gerontology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Franklin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.