Individual provider Active NPI

Lisa Fields-Jacobson, DC

  • Chiropractor
  • New Paltz, NY
National Provider Identifier
1366405862
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X0057601 Issued in NY
Practice address
124 Main St
New Paltz, NY 12561-1551
Phone
(845) 256-2220
NPI assigned
Apr 7, 2006
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X0057601 NY Primary
Chiropractor 111N00000X CR1527 ME

Addresses

Primary practice location

124 Main St
New Paltz, NY 12561-1551

Mailing address

PO Box 326
Rosendale, NY 12472-0326
Phone (845) 256-2220

Other identifiers 2

IdentifierTypeStateIssuer
465745ROtherEMPIRE
WCBC057606OtherNYWORKERS COMP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050907001139 NY Practitioner - Chiropractic 9931131810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

122 Main St
New Paltz, NY 12561-1525
Phone (845) 256-2220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CR1527MEMDChiropractor
X0057601NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Fields-Jacobson, D.C.,P.C. Chiropractor CurrentSince Mar 3, 2013 Accepting new patients
Dr. Michael Fernandez Chiropractic, P.C. Past Accepting new patients

Locations

169 Main St
New Paltz, NY 12561
Phone (646) 522-3255

7 Prospect St
New Paltz, NY 12561
Phone (845) 256-0212

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1366405862",
    "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": "124 MAIN ST",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611551",
            "telephone_number": "845-256-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS-JACOBSON",
        "first_name": "LISA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0057601",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1527",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE",
            "identifier": "465745R",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "WCBC057606",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Paltz, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.