Lissa Ann Grannis, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00001748 Issued in WA

Practice address

6210 75TH St W
Suite A100
Lakewood, WA 98499-8303

Phone

(253) 588-1800

Fax

(253) 588-8781

NPI assigned

Nov 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Los Angeles College of Chiropractic, 1981

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Creekside Chiropractic and Massage, PS

  • Chiropractor
  • Lakewood, WA
  • NPI 1538323373
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1033285291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 75TH ST W",
            "address_2": "SUITE A100",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984998303",
            "telephone_number": "253-588-1800",
            "fax_number": "253-588-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 75TH ST W",
            "address_2": "SUITE A100",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984998303",
            "telephone_number": "253-588-1800",
            "fax_number": "253-588-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANNIS",
        "first_name": "LISSA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001748",
            "primary": true
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "WA",
            "license": "CH00001748",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keyna Graham-Heine, ARNP
• David Ray Graham, LMP
• Maureen M Graham, LMP
• Margaret Colleen Gram, PA-C
• Jessica Lynn Grandon
• Shelby Lynn Granroos, CBT
• James E Grant, LPN
• Ajanae Gray
• Dakayla Gray
• James Gray

• Chiropractor in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.