Organization Active NPI

Empowered Chiropractic and Fitness LLC

  • Chiropractor
  • Meridian, ID
National Provider Identifier
1952862799
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
EMPOWERED CHIROPRACTIC AND FITNESS LLC
Practice address
1326 N Main St
Meridian, ID 83642-1703
Phone
(208) 884-3368
Fax
(208) 884-3349
NPI assigned
Mar 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Authorized official

Name
Dr. Leslie Anne Warwick, DC
Title
Physician
Phone
(208) 884-3368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1326 N Main St
Meridian, ID 83642-1703

Mailing address

1326 N Main St
Meridian, ID 83642-1703
Phone (208) 884-3368

Other identifiers 1

IdentifierTypeStateIssuer
CHIA-1873OtherIDCHIROPRACTIC PHYCICIANS LINCENSE

Other names 1

  • Empowered Chiropractic and Fitness LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190531000334 ID Part B Supplier - Clinic/Group Practice 9739412057 Receives reassigned benefits from 2 practitioners
Practice locations: Meridian, ID

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1952862799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 N MAIN ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421703",
            "telephone_number": "208-884-3368",
            "fax_number": "208-884-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 N MAIN ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421703",
            "telephone_number": "208-884-3368",
            "fax_number": "208-884-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED CHIROPRACTIC AND FITNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-26",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "WARWICK",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "208-884-3368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC PHYCICIANS LINCENSE",
            "identifier": "CHIA-1873",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Empowered Chiropractic and Fitness LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Empowered Chiropractic and Fitness LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.