OrganizationActive
Healthsource of Lake Boone Trail, PLLC
NPI 1255616611 · Chiropractor · Raleigh, NC
Healthsource of Lake Boone Trail, PLLC is a Chiropractor organization in Raleigh, NC (NPI 1255616611).
Provider details
- NPI number
- 1255616611
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Lisa Evans, Billing Manager(919) 585-7365
- License
- 3364 (NC)
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4025 Lake Boone Trl
Suite 120
Raleigh, NC 27607-2986
Phone: (919) 785-9191
Fax: (919) 785-9193
Street-level locationGet directions
Mailing address
4025 Lake Boone Trail
Raleigh, NC 27607-2986
Registry dates
- Enumerated
- 2011-10-18
- Last updated
- 2011-11-10
Frequently asked questions
- What is Healthsource of Lake Boone Trail, PLLC's NPI number?
- Healthsource of Lake Boone Trail, PLLC's National Provider Identifier (NPI) is 1255616611, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Healthsource of Lake Boone Trail, PLLC?
- Healthsource of Lake Boone Trail, PLLC is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Healthsource of Lake Boone Trail, PLLC located?
- Healthsource of Lake Boone Trail, PLLC's practice location on file with NPPES is 4025 Lake Boone Trl, Raleigh, NC 27607-2986.
- What is Healthsource of Lake Boone Trail, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Healthsource of Lake Boone Trail, PLLC is (919) 785-9191.
- Who is the authorized official for Healthsource of Lake Boone Trail, PLLC?
- The authorized official listed on Healthsource of Lake Boone Trail, PLLC's NPPES record is Lisa Evans, Billing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Healthsource of Lake Boone Trail, PLLC's NPI active?
- Yes — Healthsource of Lake Boone Trail, PLLC's NPI (1255616611) is active in the NPPES registry as of the last update on 2011-11-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.