Active NPI
Lisa Verna, D.C.
- Chiropractor
- St Louis Park, MN
National Provider Identifier
1104965656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4610
- Practice address
- 4833 Minnetonka Blvd
St Louis Park, MN 55416-2214 - Phone
- (952) 913-8687
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 4610 | MN | Primary |
Addresses
Primary practice location
4833 Minnetonka Blvd
St Louis Park, MN 55416-2214
Mailing address
1730 Plymouth Rd Ste 300
Minnetonka, MN 55305-1932
Phone (952) 300-2387
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 273686100 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
808 E Venice Ave
Venice, FL 34285-7039
Phone (941) 412-3800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twin Palms Chiropractic Health Center Inc | Chiropractor | Current | Accepting new patients |
| Synergy Chiropractic & Wellness Center Inc | Chiropractor | Past | Accepting new patients |
Locations
808 E Venice Ave
Venice, FL 34285
Phone (941) 412-3800
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 and National Provider Directory roles.
-
- Chiropractor
- Venice, FL
- NPI 1245350842
-
- Chiropractor
- Hialeah, FL
- NPI 1245424134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339977600000",
"number": "1104965656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1730 PLYMOUTH RD STE 300",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553051932",
"telephone_number": "952-300-2387",
"fax_number": "952-300-2386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4833 MINNETONKA BLVD",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554162214",
"telephone_number": "952-913-8687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERNA",
"first_name": "LISA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2012-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "4610",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "273686100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.