Individual provider Active NPI

Kayleigh Nicole Leake, D.C., C.S.C.S.

  • Chiropractor
  • La Jolla, CA
National Provider Identifier
1245676709
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32625 Issued in CA
Practice address
8950 Via la Jolla Dr
Suite B212
La Jolla, CA 92037
Phone
(858) 558-3111
Fax
(858) 558-3641
NPI assigned
May 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 32625 CA Primary

Addresses

Primary practice location

8950 Via la Jolla Dr
Suite B212
La Jolla, CA 92037

Mailing address

255 Cole Ranch Rd
Encinitas, CA 92024-6414
Phone (858) 558-3111

Other names 1

  • Dr. Kayleigh Nicole Knudson Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1245676709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 COLE RANCH RD",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920246414",
            "telephone_number": "858-558-3111",
            "fax_number": "858-558-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 VIA LA JOLLA DR",
            "address_2": "SUITE B212",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "858-558-3111",
            "fax_number": "858-558-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAKE",
        "first_name": "KAYLEIGH",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.C., C.S.C.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-10",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLEIGH",
            "last_name": "KNUDSON",
            "middle_name": "NICOLE",
            "prefix": "DR.",
            "credential": "D.C., C.S.C.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.