REAL LIFE HEALTH, LLC (NPI# 1477066421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477066421 |
| Entity Type | Organization |
| Organization Name | REAL LIFE HEALTH, LLC |
| Practice Address |
705 N 17th Ave Ashland NE 68003-1209 |
| Mailing Address |
163 County Road 7 Ashland NE 68003-1173 |
| Practice Telephone | 4029448112 |
| Practice Fax Number | 8663544020 |
| Mailing Telephone | 4029448112 |
| Mailing Fax Number | 8663544020 |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2017-11-13 |
| Authorized Official Name | MS. KRISTINA L SMITH (OWNER/NURSE PRACTITIONER) |
| Authorized Official Telephone | 4029448112 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
111990 | NE | Ambulatory Health Care Facilities |
| Street Address |
705 N 17TH AVE |
| City | ASHLAND |
| State | NE |
| Zip Code | 68003-1209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174617450 | Jack Dean Cooper | Dentist | 705 N 17th Ave, Ashland, NE 68003 | 2006-10-03 |
| 1891240495 | Jack D Cooper | Dentist | 705 N 17th Ave, Ashland, NE 68003-1209 | 2016-08-24 |
| 1568595007 | John E Bateman O D P C | Optometrist | 705 N 17th Ave, Ashland, NE 68003-1209 | 2007-03-13 |
| 1235273590 | Lincoln Family Medical Group PC | Psychologist | 705 N 17th Ave, Ashland, NE 68003-1209 | 2007-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376925826 | Julie Wischmann | Specialist/Technologist, Other | 773 County Rd 6, Ashland, NE 68003 | 2015-06-22 |
| 1629000427 | Dean Stewart Warnke | Counselor | 22001 North Broadwell, Grand Island, NE 68003 | 2006-07-06 |
| 1477766939 | Michelle Lynn Bargen | Dentist | 2821 Furnas St, Ashland, NE 68003-1010 | 2007-05-08 |
| 1801122874 | Sarah Dawn Marie Rainey | Physical Therapist | 2517 Kendel Dr, Ashland, NE 68003-1024 | 2009-10-27 |
| 1760009781 | Invigorating Motion Physical Therapy | Physical Therapist | 2517 Kendel Dr, Ashland, NE 68003-1024 | 2020-06-26 |
| 1326341231 | Delores Jean Shaffer | Licensed Practical Nurse | 150 South 31st Street, Ashland, NE 68003-1048 | 2010-12-15 |
| 1649636770 | Kristina Lyn Smith | Nurse Practitioner | 163 County Road 7, Ashland, NE 68003-1173 | 2016-01-05 |
| 1386885192 | Vest Psychiatric Services, LLC | Clinic/Center | 1829 Euclid St, Ashland, NE 68003-1214 | 2009-03-09 |
| 1114311859 | Kyle E Willard | Specialist/Technologist | 1941 Euclid St, Ashland, NE 68003-1216 | 2015-03-19 |
| 1326547159 | Ashley Chvatal | Registered Nurse | 1842 Furnas St, Ashland, NE 68003-1219 | 2018-02-07 |
| Find all providers in zip 68003 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598200602 | Supportive Med | Clinic/Center | 1224 Hoods Creek Pike, Ashland, KY 41101-7220 | 2016-12-28 |
| 1992258305 | Grayson Health Park | Clinic/Center | 2020 W Hearthstone Ct, Ashland, KY 41102-9445 | 2016-08-02 |
| 1518254747 | Timothy S. Hart, Md, Psc | Clinic/Center | 933 29th St, Ashland, KY 41101-3021 | 2011-07-08 |
| 1043775091 | Aja Morningstar, P.C. | Clinic/Center | 534 Washington St, Ashland, OR 97520-1682 | 2019-02-04 |
| 1114397528 | Noah D. Perlman, LLC | Clinic/Center | 534 Washington St, Ashland, OR 97520-1682 | 2015-09-28 |
| 1467855445 | Clay County Healthcare Authority | Clinic/Center | 83745 Highway 9, Ashland, AL 36251-7988 | 2014-10-03 |
| 1437418944 | Luciene Borowik Md PC | Clinic/Center | 117 Catawissa Rd, Ashland, PA 17921-1328 | 2012-05-04 |
| 1194947283 | Madrona Naturopathic Medicine Clinic, PC | Clinic/Center | 1875 Hwy 99 N, Suite 2, Ashland, OR 97520 | 2007-05-02 |
| 1134137557 | Mainstreet Clinic Sc | Clinic/Center | 1001 Main St W, Ashland, WI 54806-1307 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699396150 | Ageless Men's Health Series II Ne LLC | Clinic/Center | 5715 S 34th St Ste 400, Lincoln, NE 68516-6648 | 2020-05-06 |
| 1225669757 | Nextgen Male Medical Clinic LLC | Clinic/Center | 17602 Wright St Ste 105, Omaha, NE 68130-2097 | 2020-02-03 |
| 1497386601 | Kucera Chiropractic and Acupuncture, LLC | Clinic/Center | 1404 N 203rd St Ste 104, Elkhorn, NE 68022-2241 | 2020-01-28 |
| 1558912220 | Careatc | Clinic/Center | 2805 S 88th St Ste 101, Omaha, NE 68124-3065 | 2019-09-24 |
| 1063072551 | Revelation Health & Wellness LLC | Clinic/Center | 249 Olson Dr Ste 103, Papillion, NE 68046-2974 | 2019-06-17 |
| 1184143943 | Community Medical Center, Inc | Clinic/Center | 3307 Barada Street, Falls City, NE 68355 | 2017-09-13 |
| 1508316720 | Regeneration P.C. | Clinic/Center | 6030 Village Dr Ste 100, Lincoln, NE 68516-4773 | 2016-10-12 |
| 1861941999 | Brad Rodgers Md Family Practice & Sports Medicine | Clinic/Center | 3500 Central Ave Ste A, Kearney, NE 68847-2963 | 2016-09-30 |
| 1053760504 | Central Nebraska Medical Clinic Arcadia | Clinic/Center | 110 West Bridge Street, Arcadia, NE 68815 | 2016-06-06 |
| 1235539750 | Dfas-jfll/in | Clinic/Center | 4005 Raynor Pkwy Apt 3316, Bellevue, NE 68123-6110 | 2014-09-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on REAL LIFE HEALTH, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.