Active NPI
Lisa Marie Sanders, DC
- Chiropractor
- Lawrenceville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-010120
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 900141448 | Other | IL | FEIN |
| 05132005 | Other | IL | BLUE CROSS BLUE SHEILDPIN |
| 660547 | Other | IL | HEALTHLINK PIN |
Other names 1
- Dr. Lisa Marie Carver
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 038-010120 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanders Family Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
| Vincennes Chiropractic, Inc PC | Chiropractor | Current | 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.
-
- Chiropractor
- Vincennes, IN
- NPI 1376748996
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.