Active NPI
Lisa Lynn Geurink, D.O.
- Chiropractor
- Durant, IA
National Provider Identifier
1104926260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- A05230
- Practice address
- 902 5TH St
Durant, IA 52747 - Phone
- (563) 785-6511
- Fax
- (563) 785-6347
- NPI assigned
- Sep 25, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | A05230 | IA | Primary |
Addresses
Primary practice location
902 5TH St
Durant, IA 52747
Mailing address
902 5TH St
PO Box 715
Durant, IA 52747-0715
Phone (563) 785-6511
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 421352832 | Other | MARSH ADVANTAGE | |
| P00298398 | Other | PALMETO GBA/RR MEDIARE | |
| 10590 | Other | MIDLANDS CHOICE | |
| 25944 | Other | BLUE CROSS/ BLUE SHIELD | |
| IA0104 | Other | JOHN DEERE HEALTH CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
902 5TH St
Durant, IA 52747-7735
Phone (563) 785-6511
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A05230 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Melissa Kelling PLLC | Chiropractor | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Durant, IA
- NPI 1982703369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104926260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 5TH ST",
"address_2": "PO BOX 715",
"city": "DURANT",
"state": "IA",
"postal_code": "527470715",
"telephone_number": "563-785-6511",
"fax_number": "563-785-6347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 5TH ST",
"city": "DURANT",
"state": "IA",
"postal_code": "52747",
"telephone_number": "563-785-6511",
"fax_number": "563-785-6347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEURINK",
"first_name": "LISA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "A05230",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARSH ADVANTAGE",
"identifier": "421352832",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETO GBA/RR MEDIARE",
"identifier": "P00298398",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "10590",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/ BLUE SHIELD",
"identifier": "25944",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE HEALTH CARE",
"identifier": "IA0104",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durant, IA
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.