Active NPI
Lisa Ann Green, D.C.
- Chiropractor
- Coral Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH0006683
- Practice address
- 1304 N University Dr
Coral Springs, FL 33071-6623 - Phone
- (954) 977-0888
- Fax
- (954) 804-0933
- NPI assigned
- Jan 9, 2006
- Last updated
- Jan 23, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH0006683 | FL | Primary |
Addresses
Primary practice location
1304 N University Dr
Coral Springs, FL 33071-6623
Mailing address
11350 NW 1St CT
Coral Springs, FL 33071-8174
Phone (954) 270-5610
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 380828900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2925 W Cypress Creek Rd
Suite 101
Fort Lauderdale, FL 33309-1757
Phone (954) 977-0888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH0006683 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| L a Green PA | Chiropractor | Current | Accepting new patients |
Locations
1304 N University Dr
Coral Springs, FL 33071
Phone (954) 556-8800
2925 W Cypress Creek Rd
Ste 101
Fort Lauderdale, FL 33309
Phone (954) 977-0888
3225 N State Road 7
Margate, FL 33063
Phone (954) 977-0888
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": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421971200000",
"number": "1558349654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11350 NW 1ST CT",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330718174",
"telephone_number": "954-270-5610",
"fax_number": "954-775-3931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 N UNIVERSITY DR",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330716623",
"telephone_number": "954-977-0888",
"fax_number": "954-804-0933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "LISA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-09",
"last_updated": "2015-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH0006683",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "380828900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coral Springs, FL
- Sabrina Marie Sanchez Graves
- Green Health Consulting LLC
- Green Hearts Home Health Care (Green Hearts Home Care)
- Green Light Home Care LLC
- Linda D Green, MD
- Louis S Green, REGISTERED NURSE
- Janet Greenawalt, MS CCC-SLP
- Steven Samuel Greenberg, MD
- Carrie E Greenspan, MD
- Michael Steven Greenstein, R.PH.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; 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.