Individual provider Active NPI

Lisa Deanne Diamond, CHIRO. ASSISTANT

  • Chiropractor
  • San Antonio, TX
National Provider Identifier
1083837462
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Practice address
18945 FM 2252
Suite 115
San Antonio, TX 78266-2562
Phone
(210) 651-0027
Fax
(210) 651-0029
NPI assigned
Apr 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X OK Primary

Addresses

Primary practice location

18945 FM 2252
Suite 115
San Antonio, TX 78266-2562

Mailing address

2102 NW Austin Dr
Lawton, OK 73505-3209
Phone (580) 351-1109

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1083837462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 NW AUSTIN DR",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735053209",
            "telephone_number": "580-351-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18945 FM 2252",
            "address_2": "SUITE 115",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782662562",
            "telephone_number": "210-651-0027",
            "fax_number": "210-651-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMOND",
        "first_name": "LISA",
        "middle_name": "DEANNE",
        "name_prefix": "Mrs.",
        "credential": "CHIRO. ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

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