Individual provider Active NPI

Tiffany C Leonida, D.C.

  • Chiropractor
  • Lincoln, NE
National Provider Identifier
1073768941
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1543 Issued in NE
Practice address
5710 S 53Rd St
Lincoln, NE 68516-3276
Phone
(402) 309-4963
NPI assigned
Nov 19, 2008
Last updated
Mar 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 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 1543 NE Primary

Addresses

Primary practice location

5710 S 53Rd St
Lincoln, NE 68516-3276

Mailing address

5710 S 53Rd St
Lincoln, NE 68516-3276
Phone (402) 309-4963

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090309000018 NE Practitioner - Chiropractic 4587720040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthy Start Chiropractic and Wellness, PCGroup PAC ID 2860558327, 3 clinicians

Practice addresses (Care Compare)

5710 S 53Rd St
Lincoln, NE 68516-3276
Phone (402) 423-4325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1543NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Start Chiropractic & Wellness, PC Chiropractor CurrentSince Mar 1, 2009 Accepting new patients

Locations

5445 Red Rock Ln
Ste 300
Lincoln, NE 68516
Phone (402) 423-4325

5445 Red Rock Ln
Ste C
Lincoln, NE 68516
Phone (402) 423-4325

5710 S 53rd St
Lincoln, NE 68516
Phone (402) 309-4963

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": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1073768941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 S 53RD ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163276",
            "telephone_number": "402-309-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 S 53RD ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163276",
            "telephone_number": "402-309-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONIDA",
        "first_name": "TIFFANY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-19",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

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