Individual provider Active NPI

Lisa J Beighle, DC

  • Chiropractor
  • Seymour, TN
National Provider Identifier
1164579926
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1967 Issued in TN
Practice address
216 Phoenix CT Ste B
Seymour, TN 37865-3914
Phone
(865) 579-4066
Fax
(865) 579-4065
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1967 TN Primary

Addresses

Primary practice location

216 Phoenix CT Ste B
Seymour, TN 37865-3914

Mailing address

216 Phoenix CT Ste B
Seymour, TN 37865-3914
Phone (865) 579-4066

Other identifiers 1

IdentifierTypeStateIssuer
4094990OtherTNBLUE CROSS PROVIDER NUMBE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050617000133 TN Practitioner - Chiropractic 6204870835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Mountain View ChiropracticGroup PAC ID 2961446596, 2 clinicians

Practice addresses (Care Compare)

216 Phoenix CT
Suite a
Seymour, TN 37865-3914
Phone (865) 579-4066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1967TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Chiropractic Chiropractor CurrentSince Nov 1, 2004 Accepting new patients

Locations

216 Phoenix Ct
Ste B
Seymour, TN 37865
Phone (865) 579-4066

216 Phoenix Ct
Ste A
Seymour, TN 37865
Phone (865) 579-4066

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164579926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 PHOENIX CT STE B",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378653914",
            "telephone_number": "865-579-4066",
            "fax_number": "865-579-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 PHOENIX CT STE B",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378653914",
            "telephone_number": "865-579-4066",
            "fax_number": "865-579-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEIGHLE",
        "first_name": "LISA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "1967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "4094990",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, TN

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.

Verify at the official NPI Registry.