Individual provider Active NPI

Lori Jean Rochelle Schreiber Gautreaux, DC

  • Chiropractor
  • Mabank, TX
National Provider Identifier
1053479162
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5771 Issued in TX
Practice address
302 N Third Street
Mabank, TX 75147
Phone
(903) 887-4440
Fax
(903) 887-5040
NPI assigned
Dec 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5771 TX Primary

Addresses

Primary practice location

302 N Third Street
Mabank, TX 75147

Mailing address

302 N 3Rd Street
Mabank, TX 75147
Phone (903) 887-4440

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053479162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 N 3RD STREET",
            "city": "MABANK",
            "state": "TX",
            "postal_code": "75147",
            "telephone_number": "903-887-4440",
            "fax_number": "903-887-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N THIRD STREET",
            "city": "MABANK",
            "state": "TX",
            "postal_code": "75147",
            "telephone_number": "903-887-4440",
            "fax_number": "903-887-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHREIBER GAUTREAUX",
        "first_name": "LORI JEAN",
        "middle_name": "ROCHELLE",
        "name_prefix": "Mrs.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mabank, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.