NPIMap

Individual provider Active NPI

Kimberly Leupold, L.AC., DACM

  • Acupuncturist
  • Lisle, IL
National Provider Identifier
1669964771
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198.001129 Issued in IL
Practice address
3033 Ogden Ave Ste 302
Lisle, IL 60532-1976
Phone
(847) 571-5455
NPI assigned
Jun 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 198.001129 IL Primary

Addresses

Primary practice location

3033 Ogden Ave Ste 302
Lisle, IL 60532-1976

Mailing address

3033 Ogden Ave Ste 302
Lisle, IL 60532-1976
Phone (847) 571-5455

Other names 1

  • Kimberly Leupold Former name

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

LicenseStateTypeSpecialty
198.001129ILMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Health Care Centers, LLC Acupuncturist Current Accepting new patients

Locations

3033 Ogden Ave
Ste 302
Lisle, IL 60532
Phone (847) 571-5455

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": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1669964771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 OGDEN AVE STE 302",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321976",
            "telephone_number": "847-571-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 OGDEN AVE STE 302",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321976",
            "telephone_number": "847-571-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUPOLD",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "L.AC., DACM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.001129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "LEUPOLD",
            "credential": "L.AC.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lisle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.