Individual provider Active NPI

Lisa Nash, D.C.

  • Chiropractor
  • Putney, VT
National Provider Identifier
1619065208
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006-0000961 Issued in VT
Practice address
102 Sullivan Dr
Putney, VT 05346-0664
Phone
(802) 869-1122
Fax
(802) 869-1123
NPI assigned
Oct 10, 2006
Last updated
Oct 21, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006-0000961 VT Primary

Addresses

Primary practice location

102 Sullivan Dr
Putney, VT 05346-0664

Mailing address

102 Sullivan Dr
Putney, VT 05346-0664
Phone (802) 869-1122

Other identifiers 1

IdentifierTypeStateIssuer
28209OtherVTBLUE CROSS PROVIDER #

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
006-0000961VTMDChiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1619065208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 SULLIVAN DR",
            "city": "PUTNEY",
            "state": "VT",
            "postal_code": "053460664",
            "telephone_number": "802-869-1122",
            "fax_number": "802-869-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SULLIVAN DR",
            "city": "PUTNEY",
            "state": "VT",
            "postal_code": "053460664",
            "telephone_number": "802-869-1122",
            "fax_number": "802-869-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASH",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "006-0000961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "28209",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Putney, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; 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.