Individual provider Active NPI

Lisa Anne Walmsley, D.C.

  • Chiropractor
  • Herndon, VA
National Provider Identifier
1013069558
Registry record updated Jul 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001242 Issued in VA
Practice address
102 Elden St
Suite 13
Herndon, VA 20170-4868
Phone
(703) 742-5470
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104001242 VA Primary

Addresses

Primary practice location

102 Elden St
Suite 13
Herndon, VA 20170-4868

Mailing address

102 Elden St
Suite 13
Herndon, VA 20170-4868
Phone (703) 742-5470

Other identifiers 1

IdentifierTypeStateIssuer
1013069558OtherVANPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120411000180 DC Practitioner - Chiropractic 7517134596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

102 Elden St
Suite 13
Herndon, VA 20170-4827
Phone (703) 742-5470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104001242VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Chiropractic Chiropractor CurrentSince Feb 23, 1995 Accepting new patients
In Touch Chiropractic, LLC PastSince Oct 13, 2015 Accepting new patients

Locations

102 Elden St
Ste 13
Herndon, VA 20170
Phone (571) 926-5282

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1013069558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 ELDEN ST",
            "address_2": "SUITE 13",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704868",
            "telephone_number": "703-742-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 ELDEN ST",
            "address_2": "SUITE 13",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704868",
            "telephone_number": "703-742-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALMSLEY",
        "first_name": "LISA",
        "middle_name": "ANNE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1013069558",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.