Individual provider Active NPI

Lena Grace Haggerty, D.C.

  • Chiropractor
  • North Royalton, OH
National Provider Identifier
1518248194
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4201 Issued in OH
Practice address
12891 State Rd
North Royalton, OH 44133-3971
Phone
(440) 230-2300
Fax
(440) 230-2301
NPI assigned
Sep 8, 2011
Last updated
Sep 15, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4201 OH Primary

Addresses

Primary practice location

12891 State Rd
North Royalton, OH 44133-3971

Mailing address

12891 State Rd
North Royalton, OH 44133-3971
Phone (440) 230-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4201OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Physical Therapy and Rehabilitation LLC CurrentSince Feb 21, 2014 Accepting new patients

Locations

12891 State Rd
North Royalton, OH 44133
Phone (440) 230-2300

Organizations & group practices 1

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": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410739200000",
    "number": "1518248194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12891 STATE RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441333971",
            "telephone_number": "440-230-2300",
            "fax_number": "440-230-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12891 STATE RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441333971",
            "telephone_number": "440-230-2300",
            "fax_number": "440-230-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGGERTY",
        "first_name": "LENA",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-08",
        "last_updated": "2014-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Royalton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.