Individual provider Active NPI

Lea Barclay Piche, D.C.

  • Chiropractor
  • Traverse City, MI
National Provider Identifier
1053344028
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008408 Issued in MI
Practice address
1832 Oak Hollow Dr
Suite B
Traverse City, MI 49686-5918
Phone
(231) 995-0990
Fax
(231) 995-0991
NPI assigned
Jul 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008408 MI Primary

Addresses

Primary practice location

1832 Oak Hollow Dr
Suite B
Traverse City, MI 49686-5918

Mailing address

1832 Oak Hollow Dr
Suite B
Traverse City, MI 49686-5918
Phone (231) 995-0990

Other names 1

  • Ms. Lea Barclay Campbell Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040426000673 MI Practitioner - Chiropractic 9133115256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Piche Family Chiropractic P.L.L.C.Group PAC ID 8628064730, 2 clinicians

Practice addresses (Care Compare)

1832 Oak Hollow Dr
Suite B
Traverse City, MI 49686-5902

1832 Oak Hollow Dr B
Traverse City, MI 49686-5902
Phone (231) 995-0990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301008408MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Piche Family Chiropractic P.L.L.C. Chiropractor CurrentSince Nov 4, 2010 Accepting new patients

Locations

1832 Oak Hollow Dr
Ste B
Traverse City, MI 49686
Phone (231) 995-0990

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053344028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 OAK HOLLOW DR",
            "address_2": "SUITE B",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496865918",
            "telephone_number": "231-995-0990",
            "fax_number": "231-995-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 OAK HOLLOW DR",
            "address_2": "SUITE B",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496865918",
            "telephone_number": "231-995-0990",
            "fax_number": "231-995-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICHE",
        "first_name": "LEA",
        "middle_name": "BARCLAY",
        "name_prefix": "Mrs.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEA",
            "last_name": "CAMPBELL",
            "middle_name": "BARCLAY",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.