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LIFESPANN PRIMARY CARE & ESTHETICS
NPI 1720757032
Nurse Practitioner - Family in Gilbert, AZ

Active since September 09, 2021CLIA 03D2241458 · Waiver
2451 E BASELINE RD STE 310, GILBERT, AZ 85234(480) 351-7151(480) 499-0891 Get Directions Write a Review

NPPES record last updated: July 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 6, 2022, Nov 8, 2021, Sep 9, 2021 (3 updates tracked since 2021).

About Lifespann Primary Care & Esthetics NPPES

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

LIFESPANN PRIMARY CARE & ESTHETICS (NPI 1720757032) is a healthcare organization registered as a family in Gilbert, Arizona and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through October 27, 2027 and lists Jennifer Valencia Spann, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1720757032
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameLIFESPANN ENHANCED SKIN & BODY CARE, PLLC
Location Address2451 E BASELINE RD STE 310Gilbert, AZ 85234-2465
Mailing Address2451 E Baseline Rd Ste 310Gilbert, AZ 85234-2465 · (480) 351-7151
Phone(480) 351-7151
Fax(480) 499-0891
Organization SubpartNo
Authorized OfficialJennifer Valencia SpannOwner/manager · (480) 351-7151
Enumeration DateSeptember 9, 2021
Last NPPES UpdateJuly 6, 20223 updates tracked since enumeration
NPPES CertifiedDecember 28, 2021
✔ NPI 1720757032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
2451 E BASELINE RD STE 310, Gilbert, AZ 85234
Open in Google Maps ↗

Other Names 1

Doing Business AsLifespann Primary Care & Esthetics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc..Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2241458

Lifespann Primary Care & Esthetics · Gilbert, AZ
Active · expires Oct 27, 2027
CLIA Number03D2241458
Laboratory TypePractitioner Other
Certificate Effective DateOctober 28, 2025
Certificate Expiration DateOctober 27, 2027
Laboratory DirectorGarrett C. Spann
Laboratory Phone(480) 351-7151
Laboratory LocationLifespann Primary Care & Esthetics2451 E Baseline Rd Ste 310, Gilbert, AZ 85234
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

MRS. LORETTA ANN RODGERS LMT
Massage Therapist
2451 E BASELINE RD STE 310
GILBERT, AZ 85234
Maricopa County (602) 639-1398
GARRETT CHRISTOPHER SPANN FNP
Nurse Practitioner (Family)
2451 E BASELINE RD STE 310
GILBERT, AZ 85234
Maricopa County (480) 351-7151
HORIZON PEAK HEALTH PLLC
Nurse Practitioner (Psychiatric/Mental Health)
2451 E BASELINE RD STE 310
GILBERT, AZ 85234
Maricopa County (480) 535-6455

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 Lifespann Enhanced Skin & Body Care, PLLC's NPI number?

The NPI number for Lifespann Enhanced Skin & Body Care, PLLC is 1720757032. It was assigned to this organization in the NPPES registry on September 9, 2021. The provider is doing business as Lifespann Primary Care & Esthetics.

Where is Lifespann Enhanced Skin & Body Care, PLLC located?

Lifespann Enhanced Skin & Body Care, PLLC is located at 2451 E Baseline Rd Ste 310, Gilbert, AZ 85234. The listed phone number is (480) 351-7151.

What is Lifespann Enhanced Skin & Body Care, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Lifespann Enhanced Skin & Body Care, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2241458) is associated with this NPI, valid through October 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lifespann Enhanced Skin & Body Care, PLLC accept?

Health plans from Imperial Insurance Companies, Inc. list Lifespann Enhanced Skin & Body Care, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lifespann Enhanced Skin & Body Care, PLLC was last updated on July 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.