Individual provider Active NPI

Lindsey G. Heaton, D.C., DACBN, CCN

  • Nutrition Chiropractor
  • Ellicott City, MD
National Provider Identifier
1851421754
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
1468PT Issued in MD
Practice address
9025 Chevrolet Dr
Suite D
Ellicott City, MD 21042-4017
Phone
(410) 750-2540
Fax
(410) 750-2541
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 1468PT MD Primary

Addresses

Primary practice location

9025 Chevrolet Dr
Suite D
Ellicott City, MD 21042-4017

Mailing address

9025 Chevrolet Dr
Suite D
Ellicott City, MD 21042-4017
Phone (410) 750-2540

Other identifiers 3

IdentifierTypeStateIssuer
M312OtherMDMARYLAND CAREFIRST GROUP
52122902OtherMDMD CAREFIRST LOCAL #
Y921-0002OtherMDCAREFIRST

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090529000246 MD Practitioner - Chiropractic 1052460722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1988
Medicare assignment
May accept Medicare assignment
Group practices
Ellicott City Wellness Chiropractic LLCGroup PAC ID 2466606611, 2 clinicians

Practice addresses (Care Compare)

9025 Chevrolet Dr
Suite D
Ellicott City, MD 21042-4029

9025 Chevrolet Dr D
Ellicott City, MD 21042-4029
Phone (410) 750-2540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1468PTMDMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ellicott City Wellness Chiropractic, L.L.C. CurrentSince Dec 17, 2012 Accepting new patients

Locations

9025 Chevrolet Dr
Ste D
Ellicott City, MD 21042
Phone (410) 750-2540

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": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1851421754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9025 CHEVROLET DR",
            "address_2": "SUITE D",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210424017",
            "telephone_number": "410-750-2540",
            "fax_number": "410-750-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9025 CHEVROLET DR",
            "address_2": "SUITE D",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210424017",
            "telephone_number": "410-750-2540",
            "fax_number": "410-750-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATON",
        "first_name": "LINDSEY",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "D.C., DACBN, CCN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "MD",
            "license": "1468PT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND CAREFIRST GROUP",
            "identifier": "M312",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD CAREFIRST LOCAL #",
            "identifier": "52122902",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "Y921-0002",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.