NPIMap

Organization Active NPI

Lifestyle Medical Group, PLLC

Doing business as The Center for Natural Medicine

  • Internist Chiropractor
  • Nashville, TN
National Provider Identifier
1700062411
Registry record updated Aug 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
1894 Issued in TN
Legal business name
LIFESTYLE MEDICAL GROUP, PLLC
Doing business as
The Center for Natural Medicine
Practice address
4535 Harding Pike Ste 210
Nashville, TN 37205-2120
Phone
(615) 269-6355
NPI assigned
Jan 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2009

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

Authorized official

Name
Dr. Asa Andrew, D.C.
Title
Owner
Phone
(615) 269-6355

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internist ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NI0900X 1894 TN Primary
Nutrition ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN1001X 1894 TN

Addresses

Primary practice location

4535 Harding Pike Ste 210
Nashville, TN 37205-2120

Mailing address

4535 Harding Pike Ste 210
Nashville, TN 37205-2120
Phone (615) 269-6355

Other identifiers 1

IdentifierTypeStateIssuer
4204756OtherTNBLUECROSS BLUESHIELD

Other names 1

  • The Center for Natural Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lifestyle Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249257600000",
    "number": "1700062411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 HARDING PIKE STE 210",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052120",
            "telephone_number": "615-269-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 HARDING PIKE STE 210",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052120",
            "telephone_number": "615-269-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2009-08-03",
        "status": "A",
        "authorized_official_last_name": "ANDREW",
        "authorized_official_first_name": "ASA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-269-6355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Internist",
            "state": "TN",
            "license": "1894",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "TN",
            "license": "1894",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "4204756",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center for Natural Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; 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.