Active NPI
Audrey Margareth Lusby, DC
- Chiropractor
- Newberg, OR
National Provider Identifier
1912018680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2443
- Practice address
- 717 1/2 E First St
Newberg, OR 97132 - Phone
- (503) 538-9867
- Fax
- (503) 554-8388
- NPI assigned
- Aug 31, 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 | 2443 | OR | Primary |
Addresses
Primary practice location
717 1/2 E First St
Newberg, OR 97132
Mailing address
717 1/2 E First St
Newberg, OR 97132
Phone (503) 538-9867
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 032701 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110216001016 | OR | Practitioner - Chiropractic | 2769663202 | Practice locations: Newberg, OR |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 1986
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
717 /2 E 1St St
Newberg, OR 97132-2917
Phone (503) 538-9867
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2443 | OR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912018680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 1/2 E FIRST ST",
"city": "NEWBERG",
"state": "OR",
"postal_code": "97132",
"telephone_number": "503-538-9867",
"fax_number": "503-554-8388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 1/2 E FIRST ST",
"city": "NEWBERG",
"state": "OR",
"postal_code": "97132",
"telephone_number": "503-538-9867",
"fax_number": "503-554-8388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUSBY",
"first_name": "AUDREY",
"middle_name": "MARGARETH",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "2443",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "032701",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newberg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.