Organization Active NPI

Fisher Chiropractic Wellness Center

  • Chiropractor
  • Trussville, AL
National Provider Identifier
1619175346
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FISHER CHIROPRACTIC WELLNESS CENTER
Practice address
4643 Camp Coleman Rd
Suite 121
Trussville, AL 35173-2821
Phone
(205) 655-4666
Fax
(205) 655-4556
NPI assigned
Jul 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lameka Reshuan Tolliver-Fisher, DCNPI 1902855703
Title
Chiropractor
Phone
(205) 655-4666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

4643 Camp Coleman Rd
Suite 121
Trussville, AL 35173-2821

Mailing address

4643 Camp Coleman Rd
Suite 121
Trussville, AL 35173-2821
Phone (205) 655-4666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070823000111 AL Part B Supplier - Clinic/Group Practice 8224120191 Receives reassigned benefits from 1 practitioner
Practice locations: Trussville, AL

National Provider Directory

National Provider Directory

Locations

4643 Camp Coleman Rd
Ste 1
Trussville, AL 35173
Phone (205) 655-4666

4643 Camp Coleman Rd
Ste 121
Trussville, AL 35173
Phone (205) 655-4666

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619175346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4643 CAMP COLEMAN RD",
            "address_2": "SUITE 121",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351732821",
            "telephone_number": "205-655-4666",
            "fax_number": "205-655-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4643 CAMP COLEMAN RD",
            "address_2": "SUITE 121",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351732821",
            "telephone_number": "205-655-4666",
            "fax_number": "205-655-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHER CHIROPRACTIC WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOLLIVER-FISHER",
        "authorized_official_first_name": "LAMEKA",
        "authorized_official_middle_name": "RESHUAN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "205-655-4666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trussville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.