Active NPI
Lisa Ann Larson, DC
- Chiropractor
- Billings, MT
National Provider Identifier
1881757722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 676
- Practice address
- 901 Broadwater SQ
Billings, MT 59101-1634 - Phone
- (406) 259-4393
- Fax
- (406) 896-1245
- NPI assigned
- Dec 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 676 | MT | Primary |
Addresses
Primary practice location
901 Broadwater SQ
Billings, MT 59101-1634
Mailing address
901 Broadwater SQ
Billings, MT 59101-1634
Phone (406) 259-4393
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04-01157-3 | Other | MT | STATE FUND |
| 40251 | Other | MT | BLUE CROSS BLUE SHIELD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 676 | MT | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magic City Family Medicine Inc | Past | Accepting new patients |
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.
-
- Family Nurse Practitioner
- Billings, MT
- NPI 1205667276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436313600000",
"number": "1881757722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 BROADWATER SQ",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591011634",
"telephone_number": "406-259-4393",
"fax_number": "406-896-1245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 BROADWATER SQ",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591011634",
"telephone_number": "406-259-4393",
"fax_number": "406-896-1245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "LISA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2015-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MT",
"license": "676",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE FUND",
"identifier": "04-01157-3",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "40251",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.