Active NPI
Leanne Fink, D.C.
- Sports Physician Chiropractor
- Leesburg, VA
National Provider Identifier
1730231101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 0104001756
- Practice address
- 15B Loudoun St SW
Leesburg, VA 20175-2908 - Phone
- (703) 779-7909
- Fax
- (703) 779-2626
- NPI assigned
- Jan 17, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 0104001756 | VA | Primary |
Addresses
Primary practice location
15B Loudoun St SW
Leesburg, VA 20175-2908
Mailing address
15B Loudoun St SW
Leesburg, VA 20175-2908
Phone (703) 779-7909
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 231900 | Other | VA | ANTHEM BC BS PROVIDER ID |
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 |
|---|---|---|---|
| 0104001756 | VA | MD | Sports Physician Chiropractor |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730231101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15B LOUDOUN ST SW",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201752908",
"telephone_number": "703-779-7909",
"fax_number": "703-779-2626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15B LOUDOUN ST SW",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201752908",
"telephone_number": "703-779-7909",
"fax_number": "703-779-2626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINK",
"first_name": "LEANNE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "VA",
"license": "0104001756",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC BS PROVIDER ID",
"identifier": "231900",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.