LIFEGATE HEALTH & WELLNESS NPI 1508481862

NPI Information

NPI: 1508481862
Provider Name: LIFEGATE HEALTH & WELLNESS
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
3784 HARRIS BLVD NW
KENNESAW, GA
ZIP 30144
Phone: (954) 770-7059
Get Directions

LIFEGATE HEALTH & WELLNESS is a primary care nurse practitioner in Kennesaw, GA. LIFEGATE HEALTH & WELLNESS NPI is 1508481862. The provider is registered as an organization entity type.

The provider's business location address is:

3784 HARRIS BLVD NW
KENNESAW, GA
ZIP 30144-098
Phone: (954) 770-7059

The provider's authorized official is Emmanuelle Chassagne .
The authorized official title is Owner and has the following contact phone number (954) 770-7059.

The enumeration date for this NPI number is 6/12/2020 and was last updated on 6/12/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	251E00000X	Home Health		No
2	261QH0100X	Clinic/Center	Health Service	No
3	302R00000X	Health Maintenance Organization		No
4	363LP2300X	Nurse Practitioner	Primary Care	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »