Kristin Marcussen Legnola, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC006990-L Issued in PA

Practice address

1717 Swede Rd
Suite 106
Blue Bell, PA 19422-3375

Phone

(484) 688-0664

Fax

(484) 688-0667

NPI assigned

Aug 9, 2005

Last updated

Mar 20, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kristin L Marcussen Former name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legnola and Marcussen Chiropractic AssociatesGroup PAC ID 6406884204, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Legnola and Marcussen Chiropractic Associates

  dba Community Chiropractic Center

  • Chiropractor
  • Blue Bell, PA
  • NPI 1174565717
  Medicare reassignment Care Compare group
• Community Chiropractic LMC2 LLC

  • Chiropractor
  • Lower Gwynedd, PA
  • NPI 1447020797
  Medicare reassignment NPD

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1396746632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 SWEDE RD",
            "address_2": "SUITE 106",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194223375",
            "telephone_number": "484-688-0664",
            "fax_number": "484-688-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 SWEDE RD",
            "address_2": "SUITE 106",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194223375",
            "telephone_number": "484-688-0664",
            "fax_number": "484-688-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGNOLA",
        "first_name": "KRISTIN",
        "middle_name": "MARCUSSEN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006990-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "857531",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "MARCUSSEN",
            "middle_name": "L",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hyoyoung Lee, D.C.
• Kyung Lee
• Rachel Lee, PHARMD
• Jessica Anne Leer
• Legnola and Marcussen Chiropractic Associates (Community Chiropractic Center)
• Mark L Legnola, D.C.
• Debra M Leibold, M.D.
• Deborah Ann Lem, DC
• Leonis Marie Perone (Blue Bell Counseling Associates)
• Mark S Lepore, MD

• Chiropractor in Blue Bell, PA
• Providers in Blue Bell, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.