Organization Active NPI

Lifelinc Interventional PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Memphis, TN
National Provider Identifier
1699076414
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
LIFELINC INTERVENTIONAL PLLC
Practice address
1331 Union Ave Ste 927
Memphis, TN 38104-7555
Phone
(901) 844-1590
Fax
(901) 844-1592
NPI assigned
Nov 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Authorized official

Name
Dr. Natarsha Grant, MD
Title
President
Phone
(901) 844-1590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

1331 Union Ave Ste 927
Memphis, TN 38104-7555

Mailing address

1331 Union Ave Ste 927
Memphis, TN 38104-7555
Phone (901) 844-1590

National Provider Directory

National Provider Directory

Locations

1331 Union Ave
Ste 927
Memphis, TN 38104
Phone (901) 274-5813

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1699076414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 UNION AVE STE 927",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381047555",
            "telephone_number": "901-844-1590",
            "fax_number": "901-844-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 UNION AVE STE 927",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381047555",
            "telephone_number": "901-844-1590",
            "fax_number": "901-844-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINC INTERVENTIONAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "NATARSHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-844-1590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.