Individual provider Active NPI

Leanne Marie Walton, D.C.

  • Chiropractor
  • Sugar Grove, IL
National Provider Identifier
1942577374
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.012077 Issued in IL
Practice address
522 N Sugar Grove Pkwy Ste C
Sugar Grove, IL 60554
Phone
(309) 696-8803
NPI assigned
Nov 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.012077 IL Primary

Addresses

Primary practice location

522 N Sugar Grove Pkwy Ste C
Sugar Grove, IL 60554

Mailing address

522 N Sugar Grove Pkwy Ste C
Sugar Grove, IL 60554-8111
Phone (309) 696-8803

Other practice location 1

624 W Veterans Pkwy
Suite A
Yorkville, IL 60560-2505
Phone (630) 385-6200

Other identifiers 1

IdentifierTypeStateIssuer
1942577374OtherILINDIVIDUAL NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120125000789 IL Practitioner - Chiropractic 5193992550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

129 Commercial Dr
Unit 9
Yorkville, IL 60560-4731
Phone (630) 270-7637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.012077ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Leanne M Walton LLC Chiropractor CurrentSince Mar 6, 2019 Accepting new patients
Priority Health Chiropractic SC Chiropractor PastSince Sep 18, 2013 Accepting new patients

Locations

522 N Sugar Grove Pkwy
Ste C
Sugar Grove, IL 60554
Phone (309) 696-8803

129 Commercial Dr
Unit 9
Yorkville, IL 60560
Phone (630) 270-7637

Organizations & group practices 2

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": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1942577374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 N SUGAR GROVE PKWY STE C",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605548111",
            "telephone_number": "309-696-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N SUGAR GROVE PKWY STE C",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "60554",
            "telephone_number": "309-696-8803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "624 W Veterans Pkwy",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Yorkville",
            "state": "IL",
            "postal_code": "605602505",
            "country_code": "US",
            "telephone_number": "630-385-6200",
            "fax_number": "630-385-8526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTON",
        "first_name": "LEANNE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-30",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1942577374",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; 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.