Individual provider Active NPI

Lise Jane Harrington, D.C., L.A.C.

  • Chiropractor
  • Newport, WA
National Provider Identifier
1407814767
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
60701250 Issued in WA
Practice address
405 W Walnut St Ste 1
Newport, WA 99156-9388
Phone
(509) 996-5884
Fax
(509) 260-2076
NPI assigned
May 3, 2006
Last updated
Feb 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 60701250 WA Primary
Acupuncturist 171100000X 60713118 WA

Addresses

Primary practice location

405 W Walnut St Ste 1
Newport, WA 99156-9388

Mailing address

PO Box 1619
Newport, WA 99156-1619
Phone (509) 996-5884

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180406000651 WA Practitioner - Chiropractic 9739190893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

405 W Walnut St
Suite 1
Newport, WA 99156-9388
Phone (509) 996-5884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60701250WAMDChiropractor
60713118WAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Lise Harrington, DC, Lac, PC Chiropractor CurrentSince Feb 13, 2018 Accepting new patients
Pivot Health Acupuncture Acupuncturist PastSince Jan 28, 2024 Accepting new patients
Healing Touch Chiropractic & Acupuncture Center Chiropractor Past Accepting new patients
Bonnie D Bliss D.C. P.S. Chiropractor PastSince Apr 1, 2021 Accepting new patients
Gateway Sports Medicine & Rehabilitation PC Chiropractor PastSince Aug 22, 2007 Accepting new patients

Locations

405 W Walnut St
Ste 1
Newport, WA 99156
Phone (509) 993-5884

Organizations & group practices 5

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1407814767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1619",
            "city": "NEWPORT",
            "state": "WA",
            "postal_code": "991561619",
            "telephone_number": "509-996-5884",
            "fax_number": "509-260-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W WALNUT ST STE 1",
            "city": "NEWPORT",
            "state": "WA",
            "postal_code": "991569388",
            "telephone_number": "509-996-5884",
            "fax_number": "509-260-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRINGTON",
        "first_name": "LISE",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "D.C., L.A.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "60701250",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "60713118",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.