Monique Lillian Marie Levesque-Hartle, D.C.

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

08001638 Issued in IN

Practice address

6320 Constitution Drive
Fort Wayne, IN 46804

Phone

(260) 432-7339

NPI assigned

Sep 20, 2006

Last updated

Sep 17, 2012By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1993

Medicare assignment

May accept Medicare assignment

Group practices

Allen County Chiropractic LLCGroup PAC ID 9638350754, 2 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.

• Allen County Chiropractic LLC

  dba Allen County Chiropractic Wellness Center

  • Nutrition Chiropractor
  • Fort Wayne, IN
  • NPI 1093017303
  Medicare reassignment Care Compare group NPD Authorized official
• Allen County Family & Sports Chiropractic

  • Sports Physician Chiropractor
  • Fort Wayne, IN
  • NPI 1205933165

  Nutrition

  NPD (past) Authorized official
• Allen County Wellness Center LLC

  • Family Nurse Practitioner
  • Fort Wayne, IN
  • NPI 1710738984
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1477650497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 CONSTITUTION DRIVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46804",
            "telephone_number": "260-432-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 CONSTITUTION DRIVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46804",
            "telephone_number": "260-432-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVESQUE-HARTLE",
        "first_name": "MONIQUE",
        "middle_name": "LILLIAN MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "IN",
            "license": "08001638",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "MN",
            "license": "3169",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "WI",
            "license": "3054",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey P Letzer, DO
• Meredith Leigh Letzer, PA-C
• Kaitlyn Leugers, PT, DPT
• Jeffrey P. Levenda, MD
• Nina P Levenda, M.D.
• Alexis L Levesque, MAT, ATC, LAT
• Anna Levine, DO
• Samantha Lewark
• Noah Michael Lewin, PA
• Aaron Michael Lewis, CRNA

• Nutrition Chiropractor in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Nutrition Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.