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IMPACT LIFELINE
NPI 1467257576
Clinic/Center - Rural Health in Rolla, MO

Active since February 14, 2025
205 W 11TH ST, ROLLA, MO 65401(314) 279-4565(309) 326-4526 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 19, 2025, Feb 14, 2025 (2 updates tracked since 2025).

About Impact Lifeline NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMPACT LIFELINE (NPI 1467257576) is a healthcare organization registered as a rural health in Rolla, Missouri and active in the NPI registry since February 2025. The organization maintains a secondary practice location in Rolla and lists Alisha Michelle Jones, Executive Administrator, as its authorized official.

NPPES Registry Identity

NPI1467257576
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameIMPACT LIFELINE
Location Address205 W 11TH STRolla, MO 65401-2804
Mailing Address8 Laurelwood CtSaint Louis, MO 63146-4940 · (314) 279-4565 · Fax (309) 326-4526
Phone(314) 279-4565
Fax(309) 326-4526
Organization SubpartNo
Authorized OfficialAlisha Michelle JonesExecutive Administrator · (314) 279-4565
Enumeration DateFebruary 14, 2025
Last NPPES UpdateFebruary 19, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
✔ NPI 1467257576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X
Also ListedHome InfusionTaxonomy 251F00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
205 W 11TH ST, Rolla, MO 65401
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Secondary Practice Location 1

Location 113191 Rich LnRolla, MO 65401-7546 · Phone (314) 279-4565

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALISHA MICHELLE JONES FNP-C
Nurse Practitioner (Family)
205 W 11TH ST
ROLLA, MO 65401
Phelps County (314) 279-4565

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Impact Lifeline's NPI number?

The NPI number for Impact Lifeline is 1467257576. It was assigned to this organization in the NPPES registry on February 14, 2025.

Where is Impact Lifeline located?

Impact Lifeline is located at 205 W 11th St, Rolla, MO 65401. The listed phone number is (314) 279-4565.

What is Impact Lifeline's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Impact Lifeline was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.