Active NPI
Leigh Ann Pauley, DC
- Sports Physician Chiropractor
- Melbourne, FL
National Provider Identifier
1386046928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- CH10955
- Practice address
- 402 N Babcock St Ste 101
Melbourne, FL 32935-7335 - Phone
- (321) 655-8126
- NPI assigned
- Sep 25, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | CH10955 | FL | Primary |
Addresses
Primary practice location
402 N Babcock St Ste 101
Melbourne, FL 32935-7335
Mailing address
402 N Babcock St Ste 101
Melbourne, FL 32935-7335
Phone (321) 655-8126
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH10955 | FL | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1386046928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 N BABCOCK ST STE 101",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329357335",
"telephone_number": "321-655-8126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 N BABCOCK ST STE 101",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329357335",
"telephone_number": "321-655-8126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULEY",
"first_name": "LEIGH",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-25",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "FL",
"license": "CH10955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.