Individual provider Active NPI

Lydie Coleman, D.C.

  • Chiropractor
  • Needham, MA
National Provider Identifier
1457344848
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MA2710 Issued in MA
Practice address
13 Highland Cir Ste E
Needham, MA 02494-3031
Phone
(781) 455-0040
Fax
(781) 455-7999
NPI assigned
Aug 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MA2710 MA Primary

Addresses

Primary practice location

13 Highland Cir Ste E
Needham, MA 02494-3031

Mailing address

13 Highland Cir Ste E
Needham, MA 02494-3031
Phone (781) 455-0040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041202000216 MA Practitioner - Chiropractic 1052377025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chirocare Associates, PCGroup PAC ID 7618047705, 2 clinicians

Practice addresses (Care Compare)

406 Massachusetts Ave
Suite 1
Arlington, MA 02474-6700
Phone (781) 488-3388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MA2710MAMDChiropractor
2710MAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Brookline Newton Whole Health Center Chiropractor Past Accepting new patients
Chestnut Hill Physical Therapy Associates Past Accepting new patients

Organizations & group practices 3

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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1457344848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 HIGHLAND CIR STE E",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024943031",
            "telephone_number": "781-455-0040",
            "fax_number": "781-455-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 HIGHLAND CIR STE E",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024943031",
            "telephone_number": "781-455-0040",
            "fax_number": "781-455-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "LYDIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "MA2710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.