Individual provider Active NPI

Lisa Anne Loseke Kouzes, D.C.

  • Chiropractor
  • Beaverton, OR
National Provider Identifier
1295910560
Registry record updated Aug 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3727 Issued in OR
Practice address
4690 SW Hall Blvd Ste 110
Beaverton, OR 97005
Phone
(503) 972-5601
Fax
(503) 972-5603
NPI assigned
Jan 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3727 OR Primary
Chiropractor 111N00000X 713727 OR

Addresses

Primary practice location

4690 SW Hall Blvd Ste 110
Beaverton, OR 97005

Mailing address

4690 SW Hall Blvd Ste 110
Beaverton, OR 97005-0562
Phone (503) 972-5601

Other names 1

  • Lisa Anne Loseke Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
713727ORMDChiropractor
3727ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa a. L. Kouzes, DC Chiropractor PastSince Aug 28, 2013 Accepting new patients

Organizations & group practices 1

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": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1295910560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4690 SW HALL BLVD STE 110",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970050562",
            "telephone_number": "503-972-5601",
            "fax_number": "503-972-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4690 SW HALL BLVD STE 110",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "97005",
            "telephone_number": "503-972-5601",
            "fax_number": "503-972-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUZES",
        "first_name": "LISA",
        "middle_name": "ANNE LOSEKE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3727",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "713727",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "LOSEKE",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.