Active NPI
Lisa Ann Gold, D.N.
- Naprapath
- Chicago, IL
National Provider Identifier
1548394588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naprapath
- License
- 181000333
- Practice address
- 4305 N Lincoln Ave
Suite F
Chicago, IL 60618-1711 - Phone
- (773) 443-3132
- NPI assigned
- Mar 14, 2007
- Last updated
- Jan 1, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naprapath | 172P00000X | 181000333 | IL | Primary |
Addresses
Primary practice location
4305 N Lincoln Ave
Suite F
Chicago, IL 60618-1711
Mailing address
4305 N Lincoln Ave
Suite F
Chicago, IL 60618-1711
Phone (773) 443-3132
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001636607 | Other | IL | BCBS OF ILLINOIS |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 181000333 | IL | MD | Naprapath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gold Naprapathic & Wellness Center, PC | Naprapath | Past | Accepting new patients |
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.
-
- Naprapath
- Chicago, IL
- NPI 1699193342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388534400000",
"number": "1548394588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4305 N LINCOLN AVE",
"address_2": "SUITE F",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606181711",
"telephone_number": "773-443-3132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4305 N LINCOLN AVE",
"address_2": "SUITE F",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606181711",
"telephone_number": "773-443-3132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLD",
"first_name": "LISA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2014-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "172P00000X",
"taxonomy_group": "",
"desc": "Naprapath",
"state": "IL",
"license": "181000333",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ILLINOIS",
"identifier": "0001636607",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 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.