Lifestyle & Integrative Medicine of Tri-Cities PLLC

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

MD00037451 Issued in WA

Legal business name

LIFESTYLE & INTEGRATIVE MEDICINE OF TRI-CITIES PLLC

Practice address

925 Stevens Dr
Suite # 3D
Richland, WA 99352-3523

Phone

(509) 943-6800

NPI assigned

Sep 22, 2016

Last updated

Sep 22, 2016By 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

Deepshikha Datta, M.D.NPI 1346206083

Title

Physician

Phone

(509) 943-6800

Specialties & licenses 1

Addresses

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.

• Deepshikha Datta, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Hermiston, OR
  • NPI 1346206083
  NPD (past) Authorized official

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1649729385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 SUMMIT ST",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993527326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 STEVENS DR",
            "address_2": "SUITE # 3D",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523523",
            "telephone_number": "509-943-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE & INTEGRATIVE MEDICINE OF TRI-CITIES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "DATTA",
        "authorized_official_first_name": "DEEPSHIKHA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "509-943-6800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "WA",
            "license": "MD00037451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tallia Lewis, RN, BSN
• NA Li, RN/MHP
• Donelle Liebe, RC
• Steven Christopher Liebing, DO
• Lloyd Frederick Lieske Jr., RPH
• Lifestyle Healthcare, PLLC (Lifestyle Physical Therapy, PLLC)
• Lifestyle Healthcare, PLLC (Balance Chiropractic and Massage)
• Lifetime Dental Care
• Bobby Linares, PA-C
• Kimberly M Lindquist, PA

• Public Health & General Preventive Medicine Physician in Richland, WA
• Providers in Richland, WA by specialty
• Public Health & General Preventive Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.