Lacey Fisk

Primary specialty

SpecialistTaxonomy code 174400000X

License

120919 Issued in AK

Practice address

1118 2ND Ave
Fairbanks, AK 99701-4228

Phone

(907) 456-6213

Fax

(907) 452-5925

NPI assigned

Apr 11, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Fairbanks Chiropractic Clinic, Incorporated

  • Chiropractor
  • Fairbanks, AK
  • NPI 1588864086
  NPD (past)

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1821521345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 2ND AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014228",
            "telephone_number": "907-456-6213",
            "fax_number": "907-452-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 2ND AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014228",
            "telephone_number": "907-456-6213",
            "fax_number": "907-452-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISK",
        "first_name": "LACEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AK",
            "license": "120919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorna Fischer, MS, CCC-SLP
• Dianna Fisher, LMT
• Douglas K Fisher
• Stephen Lee Fisher, M.D.
• Carrie Fisk
• Ju-Lin Tham Fitzgibbon, PA-C
• Alicia B. Fitzpatrick, CDC I
• Edward J. Fitzpatrick, LCSW
• Will Flanders, AAS
• Kei Flechsing

• Specialist in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Specialist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.