NPIMap

Organization Active NPI

Lifeplus Health Centers, PS

  • Chiropractor
  • Lynnwood, WA
National Provider Identifier
1669648929
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002657 Issued in WA
Legal business name
LIFEPLUS HEALTH CENTERS, PS
Practice address
6501 196TH St SW
Suite C
Lynnwood, WA 98036-5980
Phone
(425) 775-2288
NPI assigned
May 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Authorized official

Name
Stephanie A Greenall, DCNPI 1255421764
Title
President
Phone
(425) 775-2288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH00002657 WA Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

6501 196TH St SW
Suite C
Lynnwood, WA 98036-5980

Mailing address

6501 196TH St SW
Suite C
Lynnwood, WA 98036-5980
Phone (425) 775-2288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080530000257 WA Part B Supplier - Clinic/Group Practice 9638249832 Receives reassigned benefits from 2 practitioners
Practice locations: Lynnwood, WA

National Provider Directory

National Provider Directory

Locations

6501 196th St SW
Ste C
Lynnwood, WA 98036
Phone (425) 775-2288

Practitioners & affiliated clinicians

Practitioners 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1669648929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 196TH ST SW",
            "address_2": "SUITE C",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365980",
            "telephone_number": "425-775-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 196TH ST SW",
            "address_2": "SUITE C",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365980",
            "telephone_number": "425-775-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEPLUS HEALTH CENTERS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "GREENALL",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-775-2288",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002657",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.