Individual provider Active NPI

Lisa K. Grasman, D.C.

  • Chiropractor
  • Wasilla, AK
National Provider Identifier
1205920170
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
AK590 Issued in AK
Practice address
2801 E Palmer Wasilla Hwy
Ste C
Wasilla, AK 99654-7339
Phone
(907) 357-3577
Fax
(907) 357-3580
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 29782 CA
Chiropractor 111N00000X 7919 AZ
Chiropractor 111N00000X 2301008898 MI
Chiropractor 111N00000X CH60050318 WA
Chiropractor 111N00000X AK590 AK Primary

Addresses

Primary practice location

2801 E Palmer Wasilla Hwy
Ste C
Wasilla, AK 99654-7339

Mailing address

2801 E Palmer Wasilla Hwy
Ste C
Wasilla, AK 99654-7339
Phone (907) 357-3577

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161004001982 AK Practitioner - Chiropractic 8426057746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2801 E Palmer Wasilla Hwy
Suite C
Wasilla, AK 99654-7339
Phone (907) 357-3577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AK590AKMDChiropractor
7919AZMDChiropractor
DC 29782CAMDChiropractor
2301008898MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Keeter D.C. LLC Chiropractor PastSince Sep 8, 2016 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1205920170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 E PALMER WASILLA HWY",
            "address_2": "STE C",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547339",
            "telephone_number": "907-357-3577",
            "fax_number": "907-357-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 E PALMER WASILLA HWY",
            "address_2": "STE C",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547339",
            "telephone_number": "907-357-3577",
            "fax_number": "907-357-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRASMAN",
        "first_name": "LISA",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 29782",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7919",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008898",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60050318",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "AK590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.