Lifetime Wellness Chiropractic PLLC · Chiropractor

528 N. State St, Shelley, ID 83274-1154

Overview

Lifetime Wellness Chiropractic PLLC is a Chiropractor (organization) practicing in Shelley, Idaho. The National Provider Identifier (NPI) is #1962734889, which was assigned on February 3, 2010, and the registration record was last updated on November 21, 2025. The practitioner's main practice location is at 528 N. State St, Shelley, ID 83274-1154; the contact telephone number is 2083570333, and the fax number is 2083572299. The primary taxonomy of Lifetime Wellness Chiropractic PLLC is Chiropractor (111N00000X). The authorized official for Lifetime Wellness Chiropractic PLLC is Dr. Brennan T Williams (Member). Lifetime Wellness Chiropractic PLLC is licensed to practice in the state of Idaho (#CHIA-1397).

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.

Provider Information

NPI 1962734889
Entity Type Organization
Organization Name LIFETIME WELLNESS CHIROPRACTIC PLLC
Provider Name LIFETIME WELLNESS CHIROPRACTIC PLLC
Practice Address 528 N. State St
Shelley
ID 83274-1154
Practice Telephone 2083570333
Practice Fax Number 2083572299
Mailing Address 528 N. State St
Shelley
ID 83274-1154
Mailing Telephone 2083570333
Mailing Fax Number 2083572299
Certification Date 2025-11-21
Enumeration Date 2010-02-03
Last Update Date 2025-11-21
Is Organization Subpart N

Authorized Official Information

Official Name DR. BRENNAN T WILLIAMS
Official Title MEMBER
Credential D.C.
Telephone 2085525555

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y111N00000XChiropractor193400000X SINGLE SPECIALTY GROUPCHIA-1397ID

Other Provider Identifiers

Other IdentifierIssuing StateIssuerIdentifier Type
1962734889IDMEDICAID

Taxonomy Information

Primary Taxonomy

Code 111N00000X
Taxonomy Chiropractor
Classification Chiropractor
Grouping Chiropractic Providers
Definition: 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.

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Location Information

Street Address 528 N. STATE ST
City SHELLEY
State ID
Zip Code 83274-1154
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Maria Magdalena Camacho 552 Arches St, Shelley, ID 83274-1035Clinical Social Worker2011-03-28
Dennis Radford 357 W Fir St, Shelley, ID 83274-1456Optometrist2006-08-30
All Access Therapy Inc 650 N State St Ste 5, Shelley, ID 83274-4900Occupational Therapy Assistant2021-09-14
Dayne F Shaw 650 N State St Ste 5, Shelley, ID 83274-4900Pediatric Physical Therapist2024-03-27
Samuel R Smith 295 Anderson Rd, Shelley, ID 83274-4927Dentist2021-05-03
Samantha Ryleigh Brandt 299 Anderson Rd, Shelley, ID 83274-4927Physical Therapist2025-08-25
Meagan Denise Richards · Meagan D Hasbun 650 N State St Ste 5, Shelley, ID 83274-4900Physical Therapist2013-08-29
Michelyn Devine 12047 S 5th W, Shelley, ID 83274-5401Clinical Psychologist2007-03-28
Snake River Eye Associates of Shelley, PLLC 357 W Fir St, Shelley, ID 83274-1456Optometrist2012-10-02

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Provider NameAddressTaxonomyEnumeration Date
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Anchored & Renewed Hope Counseling 1524 Nw 8th St, Meridian, ID 83642-2014Professional Counselor2026-04-09
Kaila Yacuk 190 E Bannock St, Boise, ID 83712-6241Registered Dietitian2026-04-10
Latoya Lott 314 W. 109 S., Burley, ID 83318Case Manager/Care Coordinator2026-04-10
Precision Rescue Group Incorporated 2109 S Kerr St, Boise, ID 83705-3415Emergency Response System Companies2026-04-09
Andrea Russell 1200 Jaylee Dr Unit 1, Rigby, ID 83442-5273Developmental Therapist2026-04-10
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Heartfelt Haven Assisted Living LLC 1212 S Longmont Ave, Boise, ID 83706-3645Intellectual Disabilities Intermediate Care Facility2026-04-09
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.