Individual provider Active NPI

Vicky Ann Lease, D.C.

  • Chiropractor
  • Morgantown, KY
National Provider Identifier
1568797959
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5259 Issued in KY
Practice address
1116 S Main St
Suite 1
Morgantown, KY 42261-9409
Phone
(270) 526-6206
Fax
(270) 526-6296
NPI assigned
Oct 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5259 KY Primary

Addresses

Primary practice location

1116 S Main St
Suite 1
Morgantown, KY 42261-9409

Mailing address

1116 S Main St Ste 1
Morgantown, KY 42261-9409
Phone (270) 526-6206

Other identifiers 1

IdentifierTypeStateIssuer
7100148660MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101111001411 KY Practitioner - Chiropractic 1456491695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1116 S Main St
Suite 1
Morgantown, KY 42261-9409

1116 S Main St
Suite 1
Morgantown, KY 42261-9832
Phone (270) 526-6206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
All Ease Chiropractic, LLC Chiropractor CurrentSince Oct 18, 2010 Accepting new patients

Locations

1116 S Main St
Ste 1
Morgantown, KY 42261
Phone (270) 526-6206

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": "1254441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1568797959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 S MAIN ST STE 1",
            "city": "MORGANTOWN",
            "state": "KY",
            "postal_code": "422619409",
            "telephone_number": "270-526-6206",
            "fax_number": "270-526-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 S MAIN ST",
            "address_2": "SUITE 1",
            "city": "MORGANTOWN",
            "state": "KY",
            "postal_code": "422619409",
            "telephone_number": "270-526-6206",
            "fax_number": "270-526-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEASE",
        "first_name": "VICKY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-02",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100148660",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.