LIFESTYLE WELLNESS CENTER, LLC (NPI# 1790811784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790811784 |
| Entity Type | Organization |
| Organization Name | LIFESTYLE WELLNESS CENTER, LLC |
| Practice Address |
307 Main Street Pineville MO 64856 |
| Mailing Address |
Po Box 37 Pineville MO 64856-0037 |
| Practice Telephone | 4172234103 |
| Mailing Telephone | 4172234103 |
| Mailing Fax Number | 4172234102 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LESLI G SMITH (MANAGING MEMBER) |
| Authorized Official Telephone | 4172234103 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NN1001X |
Chiropractor Specialization: Nutrition |
003822 | MO | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BLUE CROSS BLUE SHIELD | 2106860001 | 01 |
| Street Address |
307 MAIN STREET |
| City | PINEVILLE |
| State | MO |
| Zip Code | 64856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780859272 | Lifestyle Wellness Center LLC | Chiropractor | 307 Main Street, Pineville, MO 64856 | 2008-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801915244 | Gary David Neymeyer | Optometrist | 342 Commercial Drive, Pineville, MO 64856 | 2007-03-28 |
| 1093715740 | Judith G Lewallen | Nurse Practitioner | 100 Jessie James Blvd, Pineville, MO 64856 | 2005-07-22 |
| 1548269046 | Elk River Health Services, Inc. | Clinic/Center | 5265 S Bus Hwy 71, Suite J, Pineville, MO 64856 | 2005-07-18 |
| 1861670317 | State Line Chiropractic Clinic LLC | Chiropractor | 95 Bear Hollow Rd, Pineville, MO 64856 | 2008-02-07 |
| 1104028687 | Norman Alan Smith | Chiropractor | 307 Main St, Pineville, MO 64856 | 2007-06-05 |
| 1548271265 | Wal-mart Stores East Lp | Technician/Technologist | 100 Commercial Dr, Pineville, MO 64856 | 2006-08-10 |
| 1851420525 | Elk River Health Services, Inc. | Family Medicine | 5265 S Bus Hwy 71, Suite J, Pineville, MO 64856-0265 | 2007-03-05 |
| 1184740334 | County of Mcdonald | Public Health or Welfare | 500 Olin St, Pineville, MO 64856-0366 | 2007-03-21 |
| 1538319009 | Norman Fredrick Waters | Registered Nurse | 1437 Tyson Rd, Pineville, MO 64856-7014 | 2008-09-22 |
| 1821016304 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 100 Commercial Ln, Pineville, MO 64856-7069 | 2006-07-17 |
| Find all providers in zip 64856 | ||||
| Taxonomy Code | 111NN1001X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Nutrition |
| Chiropractic Nutrition is that specialty within the chiropractic profession that deals with the overall factors that affect the patient's ability to maintain the manipulative correction and thus sustain better neurological integrity. The Chiropractic Nutrition Specialist will perform extensive research on the patient's previous health history, ethnicity, and any family history related to what the patient is being treated for. Patients fill out questionnaires concerning dietary and sleep patterns and previous or present symptomology. A nutrition examination would be performed to assess areas such as absorption rates, adrenal function, kidney health, lung health etc. The patient is often instructed on how to check the pH of their saliva and urine, test for the presence of Candida Albicans, etc., at home. Outside laboratory testing includes blood, urine, hair analysis, food allergy testing etc. The patient’s prescription and over the counter medications are recorded and analyzed. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881245702 | St. Louis Upper Cervical Chiropractic LLP | Chiropractor | 8776 Big Bend Blvd, Webster Groves, MO 63119-3730 | 2019-09-23 |
| 1427593375 | Covenant Integrative Wellness, LLC | Chiropractor | 1022 Northeast Dr, Suite B, Jefferson City, MO 65109-2513 | 2017-01-02 |
| 1598126542 | Back In Balance Chiropractic | Chiropractor | 1903 E 183rd St, Belton, MO 64012-9708 | 2016-03-17 |
| 1871992099 | Vanessa King | Chiropractor | 2705 Saint Peters Howell Rd Ste H, Saint Peters, MO 63376-2821 | 2014-08-14 |
| 1104257823 | Lauren Carter | Chiropractor | 1029 Highway Kk, Troy, MO 63379-5065 | 2013-12-05 |
| 1568891307 | Perryville Health Center LLC | Chiropractor | 1304b Brenda Ave, Perryville, MO 63775-2303 | 2013-11-02 |
| 1942635966 | Sam Elashkar | Chiropractor | 6301 Rockhill Rd., Emmanuel Chiropractic Clinic, Suite 105, Kc, MO 64131 | 2013-09-10 |
| 1609119148 | Rebecca Rose Furlano | Chiropractor | 34 Professional Pkwy, Troy, MO 63379-2822 | 2013-04-03 |
| 1164768503 | Dennis Frerking | Chiropractor | 1082 Buena Vista Rd, Branson, MO 65616-8349 | 2012-12-12 |
| 1639474349 | Green Family Chiropractic PC | Chiropractor | 1338 N Belt Hwy Ste C, Saint Joseph, MO 64506-3081 | 2011-01-11 |
| Find all providers with the same taxonomy | ||||
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| 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.