Individual provider Active NPI

Leslie Grace Hickey, DC

  • Chiropractor
  • West Palm Beach, FL
National Provider Identifier
1285797720
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9005 Issued in FL
Practice address
550 Okeechobee Blvd Apt 811
West Palm Beach, FL 33401-6333
Phone
(561) 603-3454
Fax
(561) 616-8316
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9005 FL Primary

Addresses

Primary practice location

550 Okeechobee Blvd Apt 811
West Palm Beach, FL 33401-6333

Mailing address

4300 S Jog Rd Unit 540611
Greenacres, FL 33454-5028
Phone (561) 603-3454

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
Hickey Chiropractic Center Inc. Chiropractor CurrentSince Oct 20, 2010 Accepting new patients

Locations

4300 S Jog Rd
Unit 540611
Greenacres, FL 33454

2695 N Military Trl
Ste 2
West Palm Beach, FL 33409
Phone (561) 603-3454

301 Clematis St
Ste 3000
West Palm Beach, FL 33401
Phone (347) 432-8608

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1285797720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 S JOG RD UNIT 540611",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334545028",
            "telephone_number": "561-603-3454",
            "fax_number": "561-616-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 OKEECHOBEE BLVD APT 811",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334016333",
            "telephone_number": "561-603-3454",
            "fax_number": "561-616-8316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "LESLIE",
        "middle_name": "GRACE",
        "name_prefix": "Ms.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.