NPIMap

Individual provider Active NPI

Leslie Erin Forrester, D.C.

  • Chiropractor
  • Poplar Bluff, MO
National Provider Identifier
1114154242
Registry record updated Jul 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2009012413 Issued in MO
Practice address
1251 Sterling Dr
Poplar Bluff, MO 63901-3326
Phone
(573) 712-2500
Fax
(573) 712-2501
NPI assigned
Jun 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2009012413 MO Primary

Addresses

Primary practice location

1251 Sterling Dr
Poplar Bluff, MO 63901-3326

Mailing address

1251 Sterling Dr
Poplar Bluff, MO 63901-3326
Phone (573) 712-2500

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cleous Chiropractic LLC Chiropractor PastSince Jan 21, 2024 Accepting new patients
Rushin Chiropractic PC Chiropractor Past Accepting new patients

Organizations & group practices 3

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": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310688000000",
    "number": "1114154242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 STERLING DR",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639013326",
            "telephone_number": "573-712-2500",
            "fax_number": "573-712-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 STERLING DR",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639013326",
            "telephone_number": "573-712-2500",
            "fax_number": "573-712-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORRESTER",
        "first_name": "LESLIE",
        "middle_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2011-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2009012413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poplar Bluff, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; 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.