Individual provider Active NPI

Lisa E Staudt, D.C.

  • Chiropractor
  • Papillion, NE
National Provider Identifier
1811977101
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1152 Issued in NE
Practice address
1225 Papillion Dr
Papillion, NE 68046-5708
Phone
(402) 593-9930
Fax
(402) 593-0310
NPI assigned
Jan 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1152 NE Primary

Addresses

Primary practice location

1225 Papillion Dr
Papillion, NE 68046-5708

Mailing address

7808 Maui Cir
Papillion, NE 68046-5644
Phone (402) 339-8188

Other identifiers 2

IdentifierTypeStateIssuer
440088OtherNEUNITED HEALTH CARE
36690OtherNEBCBS

Other names 1

  • Lisa E Yost Former name

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
1152NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Stlyz CurrentSince Jun 1, 2021 Accepting new patients
Sarpy Chiropractic P.C. Chiropractor PastSince Jan 10, 2011 Accepting new patients

Organizations & group practices 2

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": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1811977101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7808 MAUI CIR",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680465644",
            "telephone_number": "402-339-8188",
            "fax_number": "402-593-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 PAPILLION DR",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680465708",
            "telephone_number": "402-593-9930",
            "fax_number": "402-593-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUDT",
        "first_name": "LISA",
        "middle_name": "E",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "440088",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "36690",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "YOST",
            "middle_name": "E",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Papillion, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.