Individual provider Active NPI

Leslie Anne Lynn, DC

  • Chiropractor
  • Saint Johns, FL
National Provider Identifier
1013084656
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8304 Issued in FL
Practice address
135 Durbin Station CT Ste 503
Saint Johns, FL 32259-9370
Phone
(904) 230-2343
Fax
(904) 230-2352
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8304 FL Primary

Addresses

Primary practice location

135 Durbin Station CT Ste 503
Saint Johns, FL 32259-9370

Mailing address

135 Durbin Station CT Ste 503
Saint Johns, FL 32259-9370
Phone (904) 230-2343

Other identifiers 1

IdentifierTypeStateIssuer
70119OtherBCBS

Other names 1

  • Leslie Anne Schaefer Bronson Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040701000339 FL Practitioner - Chiropractic 5294712923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

135 Durbin Station CT
Suite 503
Saint Johns, FL 32259-9370
Phone (904) 230-2343

445 State Rd
13 Suite 9
Jacksonville, FL 32259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Chiropractic Center, Inc. Chiropractor CurrentSince Mar 1, 2005 Accepting new patients
Howard Accident & Injury Chiropracti Clinic PA Chiropractor Past Accepting new patients
Musa Chiropractic & Wellness Center Inc Chiropractor PastSince May 6, 2002 Accepting new patients
J and M Chiropractic Enterprises Inc Chiropractor Past Accepting new patients
Maximum Physical Healthcare LLC PastSince May 21, 2016 Accepting new patients

Locations

135 Durbin Station Ct
Ste 503
Saint Johns, FL 32259
Phone (904) 230-2343

445 State Road 13 N
Ste 9
Saint Johns, FL 32259
Phone (904) 230-2343

Organizations & group practices 5

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1013084656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 DURBIN STATION CT STE 503",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322599370",
            "telephone_number": "904-230-2343",
            "fax_number": "904-230-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 DURBIN STATION CT STE 503",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322599370",
            "telephone_number": "904-230-2343",
            "fax_number": "904-230-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNN",
        "first_name": "LESLIE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "70119",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "SCHAEFER BRONSON",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Johns, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.