Individual provider Active NPI

Lisa Patricia Reid, D.C.

  • Chiropractor
  • Franklin, WI
National Provider Identifier
1568461283
Registry record updated Aug 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3494 Issued in WI
Practice address
9735 W Saint Martins Rd
Franklin, WI 53132-9624
Phone
(414) 525-9895
Fax
(414) 525-9927
NPI assigned
Jul 14, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3494 WI Primary

Addresses

Primary practice location

9735 W Saint Martins Rd
Franklin, WI 53132-9624

Mailing address

9735 W Saint Martins Rd
Franklin, WI 53132-9830
Phone (262) 682-4131

Other identifiers 2

IdentifierTypeStateIssuer
38911500MedicaidWI
20-0493747014OtherWIBLUE CROSS/BLUE SHIELD

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
3494WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Company - Mke Downtown LTD Chiropractor CurrentSince May 1, 2022 Accepting new patients

Locations

10068 W Loomis Rd
Franklin, WI 53132
Phone (414) 525-9895

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502323200000",
    "number": "1568461283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9735 W SAINT MARTINS RD",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329830",
            "telephone_number": "262-682-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9735 W SAINT MARTINS RD",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329624",
            "telephone_number": "414-525-9895",
            "fax_number": "414-525-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "LISA",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2017-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38911500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "20-0493747014",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2017; 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.