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Dr. Lillian Nicole Fackrell , DC

Chiropractor β€’ Midvale, UT

Active NPI 1801652367 Individual Practitioner Female Practitioner
Practice location in NPPES

6717 S 900 E Ste 101
Midvale, UT 840475755

Call 8017848886 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

6717 S 900 E Ste 101

Midvale, UT 840475755

Telephone 8017848886
Organization at the Same NPPES Address or Phone
Sports Chiropractic Of Utah Llc Facility NPI 1104372184

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Midvale and Utah

14 active clinicians are listed under Chiropractor with a practice address in Midvale, UT (901 in Utah).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Midvale

0% of these 14 clinicians have the CMS telehealth indicator.

7.1% of these 14 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-08-27
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES UT 13763325-1202

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Chiropractor

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES UT 13763325

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Utah Division of Professional Licensing.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1013465632

Doctor of Chiropractic

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location August 27, 2024

Registered at 6717 S 900 E STE 101, MIDVALE, UT 840475755 (Tel: 8017848886)

πŸ“
Updated Business Mailing Address August 27, 2024

Registered at 190 S TAMARAK CIR, LEHI, UT 840432761 (Tel: 8164196513)

πŸ‘€
Provider Name / Credentials Updated August 27, 2024

Recorded as LILLIAN FACKRELL, DC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2024

Chiropractor (license number reported to NPPES: UT 13763325)

βœ…
NPI Profile Active February 25, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 25, 2024

Registered at 4568 S HIGHLAND DR, SUITE 380, SALT LAKE CITY, UT 84117 (Tel: 8017848886)

πŸ“
Business Mailing Address (Initial Record) February 25, 2024

Registered at 4568 S HIGHLAND DR STE 380, SALT LAKE CITY, UT 841174213 (Tel: 8017848884)

πŸ‘€
Provider Name / Credentials (Initial Record) February 25, 2024

Recorded as LILLIAN SCHNAKENBERG, DC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2024

Chiropractor (license number reported to NPPES: UT 13763325-1202)

🟒
Initial NPI Registration & Enumeration February 22, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1801652367
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2024
Last Update: August 27, 2024
Sole Proprietor: No

Other Chiropractors in Midvale

Healthcare providers in Midvale

Mailing Address

190 S Tamarak Cir

Lehi, UT 840432761

Phone: 8164196513

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.