Individual provider Active NPI

Larissa Woolston

  • Chiropractor
  • Scottsdale, AZ
National Provider Identifier
1023318078
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5973 Issued in AZ
Practice address
9832 N Hayden Rd
Ste 207
Scottsdale, AZ 85258-1235
Phone
(480) 556-6797
Fax
(480) 556-6670
NPI assigned
Oct 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 4059688 AZ
Chiropractor 111N00000X 5973 AZ Primary

Addresses

Primary practice location

9832 N Hayden Rd
Ste 207
Scottsdale, AZ 85258-1235

Mailing address

9832 N Hayden Rd
Ste 207
Scottsdale, AZ 85258-1235
Phone (480) 556-6797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4059688AZMDSchool Psychologist
5973AZMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1023318078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9832 N HAYDEN RD",
            "address_2": "STE 207",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852581235",
            "telephone_number": "480-556-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9832 N HAYDEN RD",
            "address_2": "STE 207",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852581235",
            "telephone_number": "480-556-6797",
            "fax_number": "480-556-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLSTON",
        "first_name": "LARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "AZ",
            "license": "4059688",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.