Individual provider Active NPI

Lynnmarie Skipper Leyder, D.C.

  • Chiropractor
  • Sparta, MI
National Provider Identifier
1346534039
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009736 Issued in MI
Practice address
542 S State St
Sparta, MI 49345-1547
Phone
(616) 887-2178
Fax
(616) 887-2456
NPI assigned
May 31, 2011
Last updated
Jul 26, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 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 2301009736 MI Primary

Addresses

Primary practice location

542 S State St
Sparta, MI 49345-1547

Mailing address

542 S State St
Sparta, MI 49345-1547
Phone (616) 887-2178

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110711000474 MI Practitioner - Chiropractic 1153509435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serenity Wellness PLCGroup PAC ID 0244418523, 2 clinicians

Practice addresses (Care Compare)

542 S State St
Sparta, MI 49345-1547
Phone (616) 887-2178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Wellness PLC Chiropractor CurrentSince Jun 15, 2011 Accepting new patients
Cardinal Naturopathic and Functional Wellness LLC CurrentSince Oct 12, 2025 Accepting new patients

Locations

374 Seminole Rd
Norton Shores, MI 49444
Phone (231) 375-5995

542 S State St
Sparta, MI 49345
Phone (616) 887-1890

17204 Van Wagoner Rd
Spring Lake, MI 49456
Phone (616) 604-0744

Organizations & group practices 2

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": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311638400000",
    "number": "1346534039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 S STATE ST",
            "city": "SPARTA",
            "state": "MI",
            "postal_code": "493451547",
            "telephone_number": "616-887-2178",
            "fax_number": "616-887-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 S STATE ST",
            "city": "SPARTA",
            "state": "MI",
            "postal_code": "493451547",
            "telephone_number": "616-887-2178",
            "fax_number": "616-887-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYDER",
        "first_name": "LYNNMARIE",
        "middle_name": "SKIPPER",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-31",
        "last_updated": "2011-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.