ACTIVE LIFE PLLC (NPI# 1689232498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689232498 |
| Entity Type | Organization |
| Organization Name | ACTIVE LIFE PLLC |
| Practice Address |
3474 Jefferson St N Ste 101 Lewisburg WV 24901-5728 |
| Practice Telephone | 3045204940 |
| Practice Fax Number | 3045204970 |
| Mailing Telephone | 3045204940 |
| Mailing Fax Number | 3045204970 |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-06-05 |
| Authorized Official Name | DR. MARGARITA BLANCA RAMOS (OWNER) |
| Authorized Official Telephone | 3045204940 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
3474 JEFFERSON ST N STE 101 |
| City | LEWISBURG |
| State | WV |
| Zip Code | 24901-5728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093940 | Amy Lu Moss | Technician | 254 Moss D Lane, Fairlea, WV 24901 | 2020-11-04 |
| 1083212377 | Miranda Shope | Technician | 814 Maple Ave., Lewisburg, WV 24901 | 2020-10-09 |
| 1184235830 | Carol E Beasley | Technician | 147 Windy Hill Road, Lewisburg, WV 24901 | 2020-08-14 |
| 1790317782 | Preston Dyer Modlin | Psychologist | 635 Church Street, Lewisburg, WV 24901 | 2020-02-07 |
| 1437780269 | Healthcare 360 Pllc | Family Medicine | 208 Dawkins Drive, Lewisburg, WV 24901 | 2020-01-30 |
| 1821655390 | Janet Lee Kowalsky | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St., Lewisburg, WV 24901 | 2019-05-21 |
| 1598321192 | Ali Yousaf | Student in an Organized Health Care Education/Training Program | 400 North Jefferson, Lewisburg, WV 24901 | 2019-05-20 |
| 1770053308 | Micheala Renae Taylor | Student in an Organized Health Care Education/Training Program | 1464 North Jefferson Street, Lewisburg, WV 24901 | 2018-11-27 |
| 1659840486 | Maggie King Clendenen | Nurse Practitioner | 454 Bell Drive, Lewisburg, WV 24901 | 2018-11-22 |
| 1861979312 | Vincent Morra | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St, Lewisburg, WV 24901 | 2018-07-26 |
| Find all providers in zip 24901 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497283063 | Margarita Blanca Ramos | Chiropractor | 810 N Jefferson St Ste 101, Lewisburg, WV 24901-9543 | 2017-05-26 |
| 1326457656 | Travis Brent Mcdonald | Chiropractor | 1205 W Market St, Lewisburg, PA 17837-1371 | 2014-08-12 |
| 1306250899 | Krysta Joy Michael O'neill | Chiropractor | 618 Equestrian Ln, Lewisburg, PA 17837-6647 | 2014-06-12 |
| 1578747218 | Emory Lewis Leaseburge | Chiropractor | 533 N Jefferson St, Suite 3, Lewisburg, WV 24901-1166 | 2007-12-17 |
| 1841494804 | Douglas Emerson Schumacher | Chiropractor | 217 Esther Dr, Lewisburg, OH 45338-9340 | 2007-06-13 |
| 1982737953 | John Bernard Billingsley Jr. | Chiropractor | 1024 E Commerce St, Lewisburg, TN 37091-3520 | 2007-03-13 |
| 1679634547 | Michele Lynn Moseley | Chiropractor | 6010 Old Turnpike Rd, Lewisburg, PA 17837-7826 | 2006-12-13 |
| 1437247517 | Valley Health Associates LLC | Chiropractor | 112 S Court St, Lewisburg, WV 24901-1308 | 2006-10-11 |
| 1215984463 | Craig C. Bromley | Chiropractor | 112 J D Park Rd, Suite 4, Lewisburg, WV 24901-9034 | 2006-05-30 |
| 1194796276 | Randall Lee Allen | Chiropractor | 1270 S Ellington Pkwy, Lewisburg, TN 37091-4319 | 2006-01-27 |
| Find all providers in LEWISBURG | ||||
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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.