Individual provider Active NPI

Nalisa Louise Pouliot, D.C.

  • Chiropractor
  • Kansas City, MO
National Provider Identifier
1952322604
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006425 Issued in MO
Practice address
4321 NE Vivion Rd
Suite 102
Kansas City, MO 64119-2838
Phone
(816) 453-3331
Fax
(816) 453-3331
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006425 MO Primary

Addresses

Primary practice location

4321 NE Vivion Rd
Suite 102
Kansas City, MO 64119-2838

Mailing address

4321 NE Vivion Rd
Suite 102
Kansas City, MO 64119-2838
Phone (816) 453-3331

Other identifiers 1

IdentifierTypeStateIssuer
24021014OtherMOBLUE CROSS AND BLUE SHIEL

Other names 1

  • Nalisa Louise Curtis Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100820000997 MO Practitioner - Chiropractic 8628102936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4122 NE Vivion Rd
Kansas City, MO 64119-2811
Phone (816) 453-3331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
C and N Ventures Chiropractor CurrentSince May 1, 2016 Accepting new patients
Balanced Body Chiropractic LLC Chiropractor PastSince Sep 6, 2014 Accepting new patients

Locations

4321 NE Vivion Rd
Ste 102
Kansas City, MO 64119
Phone (816) 453-3331

4122 NE Vivion Rd
Kansas City, MO 64119
Phone (816) 452-7979

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952322604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 NE VIVION RD",
            "address_2": "SUITE 102",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641192838",
            "telephone_number": "816-453-3331",
            "fax_number": "816-453-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 NE VIVION RD",
            "address_2": "SUITE 102",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641192838",
            "telephone_number": "816-453-3331",
            "fax_number": "816-453-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULIOT",
        "first_name": "NALISA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "24021014",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NALISA",
            "last_name": "CURTIS",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kansas City, MO

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.

Verify at the official NPI Registry.