Lisa Colleen Klaus, D.C.
Individual provider Active NPI Chiropractor · Eldridge, IA
NPI 1285657254 · NPPES record last updated Feb 27, 2013
Key facts
- NPI
- 1285657254
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 06259 (IA)
- Practice address
- 312 N 2ND St
Eldridge, IA 52748-1259 - Phone
- (563) 285-8899
- Fax
- (563) 285-9818
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Palmer College Foundation
Practice addresses (Care Compare)
1000 Brady St
Davenport, IA 52803-5214
Phone (563) 884-5801
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041117000663 | IA | Practitioner - Chiropractic | 2769446970 |
Reassigns benefits to 1 organization Practice locations: Eldridge, IA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06259 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmer College Foundation | Chiropractor | Current |
Accepting new patients |
| Balanced Integrative Care, LLC | Past |
Accepting new patients |
Locations
1000 Brady St
Davenport, IA 52803
Phone (563) 884-5800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 06259 | IA | Yes |
Addresses
Primary practice location
312 N 2ND St
Eldridge, IA 52748-1259
Mailing address
312 N 2ND St
Eldridge, IA 52748-1259
Phone (563) 285-8899
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0298380 | Medicaid | IA |
Other names
- Dr. Lisa Colleen Jennings
Other providers in Eldridge, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.