Larissa Lynn Martin, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

012526 Issued in NY

Practice address

2360 State Route 89
Seneca Falls, NY 13148-9460

Phone

(315) 568-3166

NPI assigned

Mar 15, 2015

Last updated

Dec 6, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Larissa Lynn Severson Former name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast College of Health SciencesGroup PAC ID 3779474549, 11 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northeast College of Health Sciences

  • Chiropractor
  • Seneca Falls, NY
  • NPI 1487715975
  Medicare reassignment Care Compare group NPD
• Northeast College of Health Sciences

  • Chiropractor
  • Levittown, NY
  • NPI 1932260445
  NPD

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

{
    "created_epoch": "1426377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1073906079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 STATE ROUTE 89",
            "city": "SENECA FALLS",
            "state": "NY",
            "postal_code": "131489460",
            "telephone_number": "315-568-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 STATE ROUTE 89",
            "city": "SENECA FALLS",
            "state": "NY",
            "postal_code": "131489460",
            "telephone_number": "315-568-3166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 E William St",
            "address_purpose": "LOCATION",
            "city": "Bath",
            "state": "NY",
            "postal_code": "148101625",
            "country_code": "US",
            "telephone_number": "607-776-2741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LARISSA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-15",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARISSA",
            "last_name": "SEVERSON",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joseph Anthony Lorenzetti, M.D.
• Nicole L Luckinbill
• James Hubert Lynch, NP-C
• Wendy Lynn Maneri, D.C.
• Linda Marrapese
• Elise Mary McAllister-Heffron, D.C.
• Catherine McGowan, RPH
• William A McGrimley, DC
• Brenda Lynn McGuane, REGISTERED NURSE
• Amy Joyce Meeks, RN

• Chiropractor in Seneca Falls, NY
• Providers in Seneca Falls, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; 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.