Organization Active NPI

Lifeworx

  • Public Health & General Preventive Medicine Physician
  • Garland, TX
National Provider Identifier
1982256129
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
Legal business name
LIFEWORX
Practice address
6001 Lake Hubbard Pkwy
Garland, TX 75043-4727
Phone
(833) 586-2467
Fax
(833) 586-2467
NPI assigned
Jul 9, 2019
Organization subpart
Yes
Parent organization
LUNA UNLIMITEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Authorized official

Name
Ms. Lauren Elizabeth Peters
Title
Ceo
Phone
(833) 586-2467

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2083P0901X Primary

Addresses

Primary practice location

6001 Lake Hubbard Pkwy
Garland, TX 75043-4727

Mailing address

5954 Broadway Blvd # 107
Garland, TX 75043-5822
Phone (833) 586-2467

Other names 1

  • LUNA UNLIMITED Other name

National Provider Directory

National Provider Directory
Part of
Lifeworx

NPI Registry JSON

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562630400000",
    "number": "1982256129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5954 BROADWAY BLVD # 107",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750435822",
            "telephone_number": "833-586-2467",
            "fax_number": "833-586-2467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 LAKE HUBBARD PKWY",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750434727",
            "telephone_number": "833-586-2467",
            "fax_number": "833-586-2467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEWORX",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUNA UNLIMITED",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-09",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "833-586-2467",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LUNA UNLIMITED",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.