Individual provider Active NPI

Lisa M Jones, DC

  • Chiropractor
  • Pickerington, OH
National Provider Identifier
1811094568
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2191 Issued in OH
Practice address
13299 Summerfield Way
Pickerington, OH 43147-9251
Phone
(614) 866-5181
NPI assigned
Sep 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2191 OH Primary

Addresses

Primary practice location

13299 Summerfield Way
Pickerington, OH 43147-9251

Mailing address

13455 Capetown Ave
Pickerington, OH 43147-9276
Phone (614) 755-4815

Other identifiers 5

IdentifierTypeStateIssuer
311473580-00OtherOHBWC GROUP#
0128892MedicaidOH
4400103OtherOHUHC GROUP#
0229050MedicaidOH
311473580-001OtherOHMEDICAL MUTUAL GROUP#

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100921000690 OH Practitioner - Chiropractic 8325066715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Activelife Family Chiropractic Center IncGroup PAC ID 7113951567, 2 clinicians

Practice addresses (Care Compare)

13299 Summerfield Way
Pickerington, OH 43147-9251
Phone (614) 866-5181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2191OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Activelife Family Chiropractic Center, Inc. Chiropractor CurrentSince Oct 1, 1996 Accepting new patients

Locations

13299 Summerfield Way
Pickerington, OH 43147
Phone (614) 397-3501

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1811094568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13455 CAPETOWN AVE",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479276",
            "telephone_number": "614-755-4815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13299 SUMMERFIELD WAY",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479251",
            "telephone_number": "614-866-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC GROUP#",
            "identifier": "311473580-00",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0128892",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC GROUP#",
            "identifier": "4400103",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0229050",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL GROUP#",
            "identifier": "311473580-001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pickerington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.