Lisa Fields-Jacobson, D.C.,P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X0057601 Issued in NY

Legal business name

LISA FIELDS-JACOBSON, D.C.,P.C.

Practice address

169 Main St
New Paltz, NY 12561-1119

Phone

(845) 256-2220

NPI assigned

Jun 28, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Fields-Jacobson, D.C.NPI 1366405862

Title

Owner

Phone

(845) 256-2220

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Fields-Jacobson, DC

  • Chiropractor
  • New Paltz, NY
  • NPI 1366405862
  Medicare reassignment NPD Authorized official
• Lisa Marie Conquet, LCSW

  • Clinical Social Worker
  • Poughkeepsie, NY
  • NPI 1356548804
  NPD (past)
• Deborah Hutchinson

  • Clinical Social Worker
  • New Paltz, NY
  • NPI 1982627501
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446249600000",
    "number": "1346504958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 326",
            "city": "ROSENDALE",
            "state": "NY",
            "postal_code": "124720326",
            "telephone_number": "845-256-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 MAIN ST",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611119",
            "telephone_number": "845-256-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA FIELDS-JACOBSON, D.C.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-28",
        "last_updated": "2015-10-31",
        "status": "A",
        "authorized_official_last_name": "FIELDS-JACOBSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-256-2220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0057601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Levine, LCSW
• Robin Licari, LCSW
• Julianne Mary Quimby Light
• Allison Lindsay
• Doree Lipson, LCSW-R
• Ilka Katherine List, M.F.A. , D.A., RCAT
• Tylene Lizardi, PT, DPT
• Alexandria Lobianco
• Patricia Lofgren
• Nicole Alexandra Loiodice

• Chiropractor in New Paltz, NY
• Providers in New Paltz, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.