Individual provider Active NPI

Connie Sue Lavoie, D.C.

  • Chiropractor
  • Marble Falls, TX
National Provider Identifier
1922027614
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10127 Issued in TX
Practice address
1900 Mormon Mill Rd
Ste F2
Marble Falls, TX 78654-4177
Phone
(830) 613-2305
Fax
(830) 798-9955
NPI assigned
Jul 19, 2006
Last updated
Jul 1, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10127 TX Primary
Sports Physician Chiropractor 111NS0005X 834 GA

Addresses

Primary practice location

1900 Mormon Mill Rd
Ste F2
Marble Falls, TX 78654-4177

Mailing address

1900 Mormon Mill Rd
Ste F2
Marble Falls, TX 78654-4177
Phone (830) 613-2305

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070227000151 TX Practitioner - Chiropractic 9638060775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1900 Mormon Mill Rd
Suite F2
Marble Falls, TX 78654-4178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
834GAMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
CSL Corp Chiropractor CurrentSince Apr 30, 2003 Accepting new patients
Radin Chiropractic Inc Chiropractor PastSince Jul 25, 2005 Accepting new patients
Vance Chiropractic PC Chiropractor Past Accepting new patients

Locations

1900 Mormon Mill Rd
Marble Falls, TX 78654
Phone (830) 613-2305

1900 Mormon Mill Rd
Ste F2
Marble Falls, TX 78654
Phone (830) 613-2305

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404172800000",
    "number": "1922027614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MORMON MILL RD",
            "address_2": "STE F2",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786544177",
            "telephone_number": "830-613-2305",
            "fax_number": "830-798-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MORMON MILL RD",
            "address_2": "STE F2",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786544177",
            "telephone_number": "830-613-2305",
            "fax_number": "830-798-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVOIE",
        "first_name": "CONNIE",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2014-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10127",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "GA",
            "license": "834",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marble Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.