Individual provider Active NPI

Lindsey Lea Rafool, DC

  • Chiropractor
  • Peoria, IL
National Provider Identifier
1275912545
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.012802 Issued in IL
Practice address
719 W Lake Ave
Peoria, IL 61614-5941
Phone
(309) 691-9355
Fax
(309) 691-9357
NPI assigned
May 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 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 038.012802 IL Primary

Addresses

Primary practice location

719 W Lake Ave
Peoria, IL 61614-5941

Mailing address

719 W Lake Ave
Peoria, IL 61614-5941
Phone (309) 691-9355

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150602001840 IL Practitioner - Chiropractic 6800117979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hillman Chiropractic PCGroup PAC ID 8628245404, 5 clinicians

Practice addresses (Care Compare)

2406 E Washington St
Bloomington, IL 61704-4410
Phone (309) 585-0704

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.012802ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hillman Chiropractic P.C. Chiropractor CurrentSince Dec 24, 2021 Accepting new patients

Locations

2406 E Washington St
Bloomington, IL 61704
Phone (309) 585-0704

2501 E College Ave
Ste C
Bloomington, IL 61704
Phone (309) 661-1155

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1275912545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 W LAKE AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145941",
            "telephone_number": "309-691-9355",
            "fax_number": "309-691-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 W LAKE AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145941",
            "telephone_number": "309-691-9355",
            "fax_number": "309-691-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFOOL",
        "first_name": "LINDSEY",
        "middle_name": "LEA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-20",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.