Individual provider Active NPI

Lisa Marie Sanders, DC

  • Chiropractor
  • Lawrenceville, IL
National Provider Identifier
1235196734
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-010120 Issued in IL
Practice address
1525 Lexington Ave
Lawrenceville, IL 62439-2260
Phone
(618) 943-4949
Fax
(618) 943-5858
NPI assigned
Apr 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-010120 IL Primary

Addresses

Primary practice location

1525 Lexington Ave
Lawrenceville, IL 62439-2260

Mailing address

1525 Lexington Ave
Lawrenceville, IL 62439-2260
Phone (618) 943-4949

Other identifiers 3

IdentifierTypeStateIssuer
900141448OtherILFEIN
05132005OtherILBLUE CROSS BLUE SHEILDPIN
660547OtherILHEALTHLINK PIN

Other names 1

  • Dr. Lisa Marie Carver Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040628000808 IL Practitioner - Chiropractic 0345225686 Reassigns benefits to 1 organization
I20190104000196 IN Practitioner - Chiropractic 0345225686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanders Family Chiropractic LLCGroup PAC ID 5991780223, 2 clinicians

Practice addresses (Care Compare)

1525 Lexington Ave
Lawrenceville, IL 62439-2260
Phone (618) 943-4949

707 Busseron St
Suite C
Vincennes, IN 47591-2938
Phone (812) 886-4427

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-010120ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sanders Family Chiropractic, LLC Chiropractor CurrentSince Jan 1, 2004 Accepting new patients
Vincennes Chiropractic, Inc PC Chiropractor CurrentSince Jan 2, 2019 Accepting new patients

Locations

1525 Lexington Ave
Lawrenceville, IL 62439
Phone (618) 943-4949

707 Busseron St
Ste C
Vincennes, IN 47591
Phone (812) 886-4427

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1235196734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 LEXINGTON AVE",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624392260",
            "telephone_number": "618-943-4949",
            "fax_number": "618-943-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 LEXINGTON AVE",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624392260",
            "telephone_number": "618-943-4949",
            "fax_number": "618-943-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEIN",
            "identifier": "900141448",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILDPIN",
            "identifier": "05132005",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK PIN",
            "identifier": "660547",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "CARVER",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lawrenceville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.