Individual provider Active NPI

Lauren Elizabeth Healy, D.C.

  • Chiropractor
  • Pontiac, IL
National Provider Identifier
1073386322
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.014067 Issued in IL
Practice address
402 N Plum St
Pontiac, IL 61764-1817
Phone
(815) 844-4631
Fax
(815) 844-1942
NPI assigned
Oct 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 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 038.014067 IL Primary

Addresses

Primary practice location

402 N Plum St
Pontiac, IL 61764-1817

Mailing address

521 Locust St
Minonk, IL 61760-1340
Phone (309) 472-7488

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231229000243 IL Practitioner - Chiropractic 9830549153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Livingston County Chiropractic Center LTDGroup PAC ID 6002804937, 4 clinicians

Practice addresses (Care Compare)

402 N Plum St
Pontiac, IL 61764-1817
Phone (815) 844-4631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Body Medical Wellness LTD CurrentSince Nov 5, 2023 Accepting new patients

Locations

402 N Plum St
Pontiac, IL 61764
Phone (815) 844-4631

Organizations & group practices 2

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": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1073386322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 LOCUST ST",
            "city": "MINONK",
            "state": "IL",
            "postal_code": "617601340",
            "telephone_number": "309-472-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 N PLUM ST",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617641817",
            "telephone_number": "815-844-4631",
            "fax_number": "815-844-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEALY",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.014067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.