Lacy Dillon, LMT

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH.61477396 Issued in WA

Practice address

4001 NE 130TH St
Vancouver, WA 98686-2670

Phone

(503) 333-9294

NPI assigned

Aug 9, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nexus Chiropractic, Inc

  • Clinic/Center
  • Brush Prarie, WA
  • NPI 1366856957
  Medicare reassignment NPD
• Lumina Chiropractic

  • Chiropractor
  • Vancouver, WA
  • NPI 1649153263
  NPD Authorized official

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1740836394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 NE 130TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986862670",
            "telephone_number": "503-333-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 NE 130TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986862670",
            "telephone_number": "503-333-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "LACY",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-09",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "23030",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH.61477396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Kay Dillinger, MA
• Rachel Ann Dillman, MS, CCC-A
• Natasha Kae Dillmon, LMP
• Brenda Dillon, LMP
• Heather Lee Dillon, HA61686454
• Damian Louise Dimas
• Anna L Dindinger
• Connie K Ding, MD
• Donna Marie Dinwiddie, L.M.P.
• Linda Lou Dipietra

• Chiropractor in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.