Individual provider Active NPI

Lisa Renae Lawhorn, CHIROPRACTOR

  • Chiropractor
  • Sacramento, CA
National Provider Identifier
1083754071
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
25738 Issued in CA
Practice address
3575 Arden Way
Sacramento, CA 95864-2911
Phone
(916) 481-9961
Fax
(916) 481-9962
NPI assigned
Feb 7, 2007
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 25738 CA Primary

Addresses

Primary practice location

3575 Arden Way
Sacramento, CA 95864-2911

Mailing address

3575 Arden Way
Sacramento, CA 95864-2911
Phone (916) 481-9961

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120315000890 CA Practitioner - Chiropractic 4183883879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5126 Arden Way
Carmichael, CA 95608-6005
Phone (916) 481-9961

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lawhorn Chiropractic, Inc. Chiropractor CurrentSince May 23, 2002 Accepting new patients

Locations

5126 Arden Way
Carmichael, CA 95608
Phone (916) 481-9961

3575 Arden Way
Sacramento, CA 95864
Phone (916) 481-9961

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083754071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 ARDEN WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958642911",
            "telephone_number": "916-481-9961",
            "fax_number": "916-481-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 ARDEN WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958642911",
            "telephone_number": "916-481-9961",
            "fax_number": "916-481-9962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWHORN",
        "first_name": "LISA",
        "middle_name": "RENAE",
        "name_prefix": "Dr.",
        "credential": "CHIROPRACTOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "25738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

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.
  • 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.