Donna Lodge, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-008541 Issued in IL

Practice address

530 W Fir St Ste 1a
Sequim, WA 98382-3284

Phone

(360) 681-2220

Fax

(360) 681-5267

NPI assigned

Jun 9, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Lodge Chiropractic

  • Chiropractor
  • Sequim, WA
  • NPI 1407587876
  NPD Authorized official
• Atlas Chiropractic and Wellness, LLC

  • Chiropractor
  • Sequim, WA
  • NPI 1811736192
  NPD
• Core Wellness Inc

  • Chiropractor
  • Prophetstown, IL
  • NPI 1093104903
  NPD (past)
• Rosebud Health Inc

  • Chiropractor
  • Woodstock, IL
  • NPI 1609210343
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697846400000",
    "number": "1073554192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 W FIR ST STE 1A",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823284",
            "telephone_number": "360-681-2220",
            "fax_number": "360-681-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 W FIR ST STE 1A",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823284",
            "telephone_number": "360-681-2220",
            "fax_number": "360-681-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LODGE",
        "first_name": "DONNA",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2023-10-21",
        "certification_date": "2023-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038008541",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00173887",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "042965",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CARE",
            "identifier": "285586",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09822654",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy A Lipski, MD
• Nicole Lynn Livengood, LMT
• Ethan Perry Livermont, DDS
• John T Lloyd, PH.D.
• Lodge Chiropractic
• Valerie B Lodge, FNP
• David Lopez, PT, DPT
• Loraine Lovejoy-Evans, MPT, DPT
• Corie Lowden
• Bruce Lundin, OD LLC

• All providers in Sequim, WA
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2023; 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.