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Life Bridges, Inc

Family Medicine Physician in Cleveland, TN · enumerated 2007 · authorized official Diana Jackson, Chief Executive Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1700928876

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Registry record

Entity type Organization (Type 2)
Legal business name Life Bridges, Inc
Practice address 764 Old Chattanooga Pk., Cleveland, TN, 37311
Fax (423) 479-1492
Enumeration date Feb 13, 2007
Last updated in NPPES Jun 4, 2025

Taxonomy & classification

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers · License LPC0000000617 (TN) Secondary
103K00000X Behavior Analyst Behavioral Health & Social Service Providers Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
2083P0901X Public Health & General Preventive Medicine Physician Allopathic & Osteopathic Physicians Secondary
2084N0400X Neurology Physician Allopathic & Osteopathic Physicians · License 20193 (TN) Secondary
225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License OT2755 (TN) Secondary
343900000X Non-emergency Medical Transport (VAN) Transportation Services Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 1509 (TN) Secondary

Authorized official

Name Diana Jackson
Title Chief Executive Officer

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Life Bridges, Inc?
The NPI for Life Bridges, Inc is 1700928876, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Life Bridges, Inc?
NPPES lists Diana Jackson (Chief Executive Officer) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-04.