Active NPI
Cherylee Lisonbee, DC
- Chiropractor
- Show Low, AZ
National Provider Identifier
1942895248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4324
- Practice address
- 708 E Deuce of Clubs
Show Low, AZ 85901-4942 - Phone
- (928) 242-4389
- NPI assigned
- Mar 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 4324 | AZ | Primary |
Addresses
Primary practice location
708 E Deuce of Clubs
Show Low, AZ 85901-4942
Mailing address
PO Box 977
Pinedale, AZ 85934-0977
Phone (928) 739-4124
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4324 | AZ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615161600000",
"number": "1942895248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 977",
"city": "PINEDALE",
"state": "AZ",
"postal_code": "859340977",
"telephone_number": "928-739-4124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 E DEUCE OF CLUBS",
"city": "SHOW LOW",
"state": "AZ",
"postal_code": "859014942",
"telephone_number": "928-242-4389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISONBEE",
"first_name": "CHERYLEE",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-08",
"last_updated": "2021-03-08",
"certification_date": "2021-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "4324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Show Low, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.