Active NPI
Elizabeth Kay Lavin
- Chiropractor
- Granite Falls, MN
National Provider Identifier
1124010475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3107
- Practice address
- 665 Highway 212 W
Granite Falls, MN 56241-1371 - Phone
- (320) 564-1870
- NPI assigned
- Aug 22, 2005
- 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 | 3107 | MN | Primary |
Addresses
Primary practice location
665 Highway 212 W
Granite Falls, MN 56241-1371
Mailing address
1411 550TH St
Wood Lake, MN 56297-1419
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 638828100 | Medicaid | MN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3107 | MN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343692800000",
"number": "1124010475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 550TH ST",
"city": "WOOD LAKE",
"state": "MN",
"postal_code": "562971419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "665 HIGHWAY 212 W",
"city": "GRANITE FALLS",
"state": "MN",
"postal_code": "562411371",
"telephone_number": "320-564-1870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVIN",
"first_name": "ELIZABETH",
"middle_name": "KAY",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-22",
"last_updated": "2012-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "3107",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "638828100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Granite Falls, MN
- Independent School District 2890
- Catalina Kay, MS, LPCC, LADC
- Lac Qui Parle County Ind School Dist N 378
- Lac Qui Parle Valley School District
- Lavin Family Chiropractic Center Inc
- John Eugene Linden, RPH
- Lundell Chiropractic Health Center
- Katy L Lundell, DC
- Christopher Martinson
- Minnesota Valley Cooperative Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.