Individual provider Active NPI

Darla Sue Lasseter, D.C.

  • Chiropractor
  • Boaz, AL
National Provider Identifier
1972880821
Registry record updated Apr 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2342 Issued in AL
Practice address
214 S McCleskey St
Suite 815
Boaz, AL 35957-2117
Phone
(256) 840-4000
NPI assigned
Nov 7, 2011
Last updated
Apr 6, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2342 AL Primary

Addresses

Primary practice location

214 S McCleskey St
Suite 815
Boaz, AL 35957-2117

Mailing address

102 College Ave
100 Bel Air Street
Boaz, AL 35957-1606
Phone (256) 840-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150708000868 AL Practitioner - Chiropractic 5799004461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 E Mann Ave
Boaz, AL 35957-1926
Phone (256) 840-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Abundant Life Family Chiropractic LLC Chiropractor CurrentSince Nov 24, 2014 Accepting new patients

Locations

101 E Mann Ave
Boaz, AL 35957
Phone (256) 840-4000

Organizations & group practices 1

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": "1320624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396742400000",
    "number": "1972880821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 COLLEGE AVE",
            "address_2": "100 BEL AIR STREET",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359571606",
            "telephone_number": "256-840-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 S MCCLESKEY ST",
            "address_2": "SUITE 815",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359572117",
            "telephone_number": "256-840-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASSETER",
        "first_name": "DARLA",
        "middle_name": "SUE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-07",
        "last_updated": "2014-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boaz, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.