Individual provider Active NPI

Lindsey Marie Fisher, D.C.

  • Chiropractor
  • Tyler, TX
National Provider Identifier
1447673306
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12497 Issued in TX
Practice address
1904 W Grande Blvd
Tyler, TX 75703-4406
Phone
(903) 561-0086
Fax
(903) 561-2576
NPI assigned
Jan 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12497 TX Primary

Addresses

Primary practice location

1904 W Grande Blvd
Tyler, TX 75703-4406

Mailing address

1904 W Grande Blvd
Tyler, TX 75703-4406
Phone (903) 561-0086

Other names 1

  • Lindsey Marie Wolf Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140220001381 TX Practitioner - Chiropractic 7012147960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hembree Chiropractic PAGroup PAC ID 7618928326, 5 clinicians

Practice addresses (Care Compare)

2004 W Grande Blvd
Tyler, TX 75703-0537
Phone (903) 561-0086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12497TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hembree Chiropractic PA Chiropractor CurrentSince Jan 14, 2014 Accepting new patients
Cody a Carter DC Chiropractor Past Accepting new patients

Locations

2004 W Grande Blvd
Tyler, TX 75703
Phone (903) 561-0086

1904 W Grande Blvd
Tyler, TX 75703
Phone (903) 561-0086

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1447673306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 W GRANDE BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757034406",
            "telephone_number": "903-561-0086",
            "fax_number": "903-561-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 W GRANDE BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757034406",
            "telephone_number": "903-561-0086",
            "fax_number": "903-561-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "LINDSEY",
        "middle_name": "MARIE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-29",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "WOLF",
            "middle_name": "MARIE",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.