Lise S Wall, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1683 Issued in NM

Practice address

5 Caliente Rd
Ste 2a
Santa Fe, NM 87508-9100

Phone

(505) 466-1429

Fax

(505) 466-1437

NPI assigned

Nov 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Kacper Fiutek Professional Association

  • Chiropractor
  • Albuquerque, NM
  • NPI 1871623272
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308355200000",
    "number": "1962575175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CALIENTE RD",
            "address_2": "STE 2A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875089100",
            "telephone_number": "505-466-1429",
            "fax_number": "505-466-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CALIENTE RD",
            "address_2": "STE 2A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875089100",
            "telephone_number": "505-466-1429",
            "fax_number": "505-466-1437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "LISE",
        "middle_name": "S",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2011-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melinda Lee Walker, LPCC
• Nina Marie Walker
• Stephen Curtis Walker, OD
• Wall Chiropractic, LLC
• Kathryn Wall Ganz
• Braden Jacob Wallace, PHARMD
• Helen Timmie Wallace, PT
• Josephine Wallace
• Kenyan Wallace, LMT
• Tiffani Wallace

• Chiropractor in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Chiropractor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.