Individual provider Active NPI

Lisa Palmer, DC, MS

  • Chiropractor
  • Scottsdale, AZ
National Provider Identifier
1033756838
Registry record updated Nov 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8866 Issued in AZ
Practice address
5040 E Shea Blvd Ste 261
Scottsdale, AZ 85254-4687
Phone
(480) 702-1360
NPI assigned
Nov 30, 2019
Last updated
Nov 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8866 AZ Primary

Addresses

Primary practice location

5040 E Shea Blvd Ste 261
Scottsdale, AZ 85254-4687

Mailing address

5040 E Shea Blvd Ste 261
Scottsdale, AZ 85254-4687
Phone (480) 702-1360

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230530002170 AZ Practitioner - Chiropractic 6507223997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5040 E Shea Blvd
Suite 261
Scottsdale, AZ 85254-4687
Phone (480) 702-1360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Peak & Valley Chiropractic LLC Chiropractor CurrentSince May 6, 2023 Accepting new patients

Locations

5040 E Shea Blvd
Ste 261
Scottsdale, AZ 85254
Phone (480) 702-1360

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1575072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575072000000",
    "number": "1033756838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 E SHEA BLVD STE 261",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544687",
            "telephone_number": "480-702-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 E SHEA BLVD STE 261",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544687",
            "telephone_number": "480-702-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "DC, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-30",
        "last_updated": "2019-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8866",
            "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 Nov 30, 2019; 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.