Individual provider Active NPI

Leslie Diane Acreman

  • Chiropractor
  • Lake Mary, FL
National Provider Identifier
1124745823
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14234 Issued in FL
Practice address
580 Rhinehart Rd
Unit 100
Lake Mary, FL 32746-1551
Phone
(321) 695-1151
NPI assigned
Oct 24, 2022
Last updated
May 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 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 14234 FL Primary

Addresses

Primary practice location

580 Rhinehart Rd
Unit 100
Lake Mary, FL 32746-1551

Mailing address

580 Rhinehart Rd
Unit 100
Lake Mary, FL 32746-1551
Phone (321) 695-1151

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230612001969 FL Practitioner - Chiropractic 4688031461 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14234FLMDChiropractor

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": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1124745823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 RHINEHART RD",
            "address_2": "UNIT 100",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461551",
            "telephone_number": "321-695-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 RHINEHART RD",
            "address_2": "UNIT 100",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461551",
            "telephone_number": "321-695-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACREMAN",
        "first_name": "LESLIE",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "14234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.