Individual provider Active NPI

Leslie Natoli-Henry, DC

  • Chiropractor
  • New Smyrna Beach, FL
National Provider Identifier
1760735393
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11352 Issued in FL
Practice address
1331 Saxon Dr # 147
New Smyrna Beach, FL 32169-3160
Phone
(808) 430-1309
NPI assigned
Oct 19, 2012
Last updated
Oct 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH11352 FL Primary

Addresses

Primary practice location

1331 Saxon Dr # 147
New Smyrna Beach, FL 32169-3160

Mailing address

4658 Saxon Dr
New Smyrna Beach, FL 32169-4319
Phone (808) 430-1309

Other names 1

  • Leslie Pelletier 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

Practice roles

OrganizationSpecialtyStatusNew patients
Seaside Chiropractic House Calls Chiropractor CurrentSince Oct 11, 2020 Accepting new patients

Locations

1331 Saxon Dr
New Smyrna Beach, FL 32169
Phone (386) 269-6680

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": "1350604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1760735393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4658 SAXON DR",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321694319",
            "telephone_number": "808-430-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 SAXON DR # 147",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321693160",
            "telephone_number": "808-430-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATOLI-HENRY",
        "first_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-19",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "PELLETIER",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Smyrna Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.