Active NPI
Leslie Elliott, LMT, CNMT, BAS
- Naprapath
- Jacksonville, FL
National Provider Identifier
1780967877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naprapath
- License
- MA50357
- Practice address
- 12415 Silent Brook TRL N
Jacksonville, FL 32225-5129 - Phone
- (904) 742-2960
- NPI assigned
- Sep 24, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Naprapath | 172P00000X | MA50357 | FL | Primary |
Addresses
Primary practice location
12415 Silent Brook TRL N
Jacksonville, FL 32225-5129
Mailing address
12415 Silent Brook TRL N
Jacksonville, FL 32225-5129
Phone (904) 742-2960
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA50357 | FL | MD | Naprapath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316822400000",
"number": "1780967877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12415 SILENT BROOK TRL N",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322255129",
"telephone_number": "904-742-2960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12415 SILENT BROOK TRL N",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322255129",
"telephone_number": "904-742-2960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "LESLIE",
"name_prefix": "Ms.",
"credential": "LMT, CNMT, BAS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-24",
"last_updated": "2011-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "172P00000X",
"taxonomy_group": "",
"desc": "Naprapath",
"state": "FL",
"license": "MA50357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.