Active NPI
Lisa Ann Homic, D.C.
- Chiropractor
- Auburn, NY
National Provider Identifier
1205977816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 9832
- Practice address
- 22 State St
Auburn, NY 13021-3625 - Phone
- (315) 277-1362
- NPI assigned
- Feb 8, 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 | 9832 | NY | Primary |
Addresses
Primary practice location
22 State St
Auburn, NY 13021-3625
Mailing address
144 Genesee St Ste 102102
Auburn, NY 13021-3503
Phone (315) 277-1362
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9832 | Other | NY | WORKERS COMP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031210000228 | NY | Practitioner - Chiropractic | 8224934351 | Practice locations: Auburn, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
33 William St
Auburn, NY 13021-3730
Phone (315) 277-1362
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9832 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205977816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 GENESEE ST STE 102102",
"city": "AUBURN",
"state": "NY",
"postal_code": "130213503",
"telephone_number": "315-277-1362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 STATE ST",
"city": "AUBURN",
"state": "NY",
"postal_code": "130213625",
"telephone_number": "315-277-1362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOMIC",
"first_name": "LISA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "9832",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP",
"identifier": "9832",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Auburn, NY
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.