Individual provider Active NPI

Whitney Ceirra Leonard, DC

  • Chiropractor
  • Windermere, FL
National Provider Identifier
1013619931
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
77871 Issued in FL
Practice address
4750 The Grove Dr Ste 172
Windermere, FL 34786-8425
Phone
(407) 863-7836
NPI assigned
Mar 22, 2023
Last updated
Mar 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 77871 FL Primary

Addresses

Primary practice location

4750 The Grove Dr Ste 172
Windermere, FL 34786-8425

Mailing address

14504 Brackenfern Cres
Winter Garden, FL 34787-8731

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address clinic27009@thejoint.com Direct
SOAP URL Axis

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
77871FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1013619931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14504 BRACKENFERN CRES",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347878731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 THE GROVE DR STE 172",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347868425",
            "telephone_number": "407-863-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "WHITNEY",
        "middle_name": "CEIRRA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "77871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clinic27009@thejoint.com",
            "affiliation": "N",
            "endpointDescription": "clinic email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "16005 New Independence Pkwy",
            "address_2": "Unit 120",
            "city": "Winter Garden",
            "state": "FL",
            "country_code": "US",
            "postal_code": "34787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Axis",
            "affiliation": "N",
            "address_1": "4750 The Grove Dr Ste 172",
            "city": "Windermere",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347868425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Windermere, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.