Elizabeth Anne Bartlett, D.C.

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

08003268A Issued in IN

Practice address

953 Monument Dr
Lebanon, IN 46052-2968

Phone

(630) 699-5714

Fax

(630) 473-2477

NPI assigned

Nov 3, 2006

Last updated

Jul 29, 2022By the provider in NPPES

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

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bartlett Chiropractic Dba Doctors' Center for Integrative Wellness

  • Internist Chiropractor
  • Lisle, IL
  • NPI 1457473944
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1053490706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 DIAMOND LN",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479338320",
            "telephone_number": "630-699-5714",
            "fax_number": "630-473-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 MONUMENT DR",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460522968",
            "telephone_number": "630-699-5714",
            "fax_number": "630-473-2477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Dundee Rd",
            "address_2": "Suite 308",
            "address_purpose": "LOCATION",
            "city": "Northbrook",
            "state": "IL",
            "postal_code": "600622422",
            "country_code": "US",
            "telephone_number": "630-699-5714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTLETT",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2022-07-29",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "IL",
            "license": "038-009605",
            "primary": false
        },
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "IN",
            "license": "08003268A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILLINOIS",
            "identifier": "02232594",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7957448",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3610727",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11562742",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "697284",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica D Baker, NP
• John M Baldini, RBT
• Breanna M Bandy, RBT
• Nikki K Barnes, MSW, LSW
• Sharon Lucas Barr, OTR
• Briana Becerril, RBT
• Kurtis Beeman
• Kara Dian Bell, NP
• Victoria Belton
• Misha Bennett, LCSW

• Internist Chiropractor in Lebanon, IN
• Providers in Lebanon, IN by specialty
• Internist Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.