Individual provider Active NPI

Lisa Barry, D.C.

  • Chiropractor
  • St Thomas, VI
National Provider Identifier
1114370178
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4606 Issued in NC
Practice address
9053 Estate Thomas Suite 105
Royal Palms Professional BLDG
St Thomas, VI 00802-3321
Phone
(340) 774-3020
Fax
(340) 774-3044
NPI assigned
Jul 14, 2016
Last updated
Dec 8, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4606 NC Primary

Addresses

Primary practice location

9053 Estate Thomas Suite 105
Royal Palms Professional BLDG
St Thomas, VI 00802-3321

Mailing address

PO Box 9258
St Thomas, VI 00801-2258

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200730001380 TX Practitioner - Chiropractic 2860817426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Healthworks a Family Wellness Center AssociatesGroup PAC ID 7517968837, 3 clinicians

Practice addresses (Care Compare)

2317 Coit Rd
Suite B
Plano, TX 75075-3774
Phone (972) 612-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13480TXMDEndodontist
4606NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthworks: a Family Wellness Center Associates Chiropractor CurrentSince Feb 1, 2023 Accepting new patients

Locations

2317 Coit Rd
Ste B
Plano, TX 75075
Phone (972) 612-1800

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

NPI Registry JSON

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1114370178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9258",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008012258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9053 ESTATE THOMAS SUITE 105",
            "address_2": "ROYAL PALMS PROFESSIONAL BLDG",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008023321",
            "telephone_number": "340-774-3020",
            "fax_number": "340-774-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRY",
        "first_name": "LISA",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Thomas, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.