Derek Alan Leist, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

2649 Issued in TN

Practice address

204 Ward Cir
Suite 300
Brentwood, TN 37027-7551

Phone

(615) 636-5923

Fax

(615) 915-3187

NPI assigned

Mar 1, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Leist, LTD.

  • Clinic/Center
  • Olney, IL
  • NPI 1710239264
  NPD Authorized official
• Prevail Rehab and Performance, PLLC

  • Rehabilitation Chiropractor
  • Brentwood, TN
  • NPI 1558951913
  NPD (past) Authorized official
• Resilient Associates

  • Rehabilitation Chiropractor
  • Brentwood, TN
  • NPI 1225404205
  NPD (past) Authorized official
• Miller Chiropractic & Laser Treatment Center, LTD.

  • Chiropractor
  • Olney, IL
  • NPI 1801092168
  NPD (past)

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1073836342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 WARD CIR",
            "address_2": "SUITE 300",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277551",
            "telephone_number": "615-636-5923",
            "fax_number": "615-915-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 WARD CIR",
            "address_2": "SUITE 300",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277551",
            "telephone_number": "615-636-5923",
            "fax_number": "615-915-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIST",
        "first_name": "DEREK",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-01",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TN",
            "license": "2649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "2649",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Leedle
• Rebecca Lynn Leedy, P.T.
• Howard Brian Leeper, M.D.
• Faron C Legarde, DC
• Carol Lehman
• Barry Lemesurier
• Martha Lemm
• Julie Wilson Lemmon, MD
• Martha Lemons, AGPCNP-BC
• Kirstin Sophia Lenane, LPC-MHSP

• Rehabilitation Chiropractor in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Rehabilitation Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.