DR. LESLIE M RYAN (NPI# 1548779150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548779150 |
| Entity Type | Individual |
| Full Name | DR. LESLIE M RYAN |
| Credential | DC |
| Practice Address |
2255 N Wickham Rd Ste 109 Melbourne FL 32935-8012 |
| Practice Telephone | (321) 253-8511 |
| Mailing Telephone | 3212538511 |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2017-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH12312 | FL | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225658560 | Leslie Ryan | Specialist | 377 Laclair St, Coos Bay, OR 97420-4709 | 2020-04-16 |
| 1447502240 | Leslie Ryan | Specialist | 27 Woodlawn Rd, Rocky Point, NY 11778-9473 | 2012-10-04 |
| 1538387808 | Leslie Marie Ryan | Dietitian, Registered | 1035 14th Ave North, Nashville, TN 37208 | 2007-04-23 |
| 1528689288 | Leslie Ryan | Registered Nurse | 474 N Yellow Springs St, Springfield, OH 45504-2463 | 2020-05-04 |
| 1578633285 | Leslie Jo Ryan | Physician Assistant | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2006-11-09 |
| Street Address |
2255 N WICKHAM RD STE 109 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32935-8012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412018 | Aleecia Estime | Nurse Practitioner | 401 N Wickham Rd Ste S, Melbourne, FL 32935 | 2019-05-20 |
| 1669948261 | Lisa Marie Sarkees | Social Worker | 1503 Spring Drive, Melbourne, FL 32935 | 2018-10-22 |
| 1407355399 | Eugene Slaughter | Case Manager/Care Coordinator | 1600 W Eau Gallie Blvd. Suite 201 F, Melbourne, FL 32935 | 2018-02-06 |
| 1588173173 | Gregory M Mcdermand | Respiratory Therapist, Certified | 2745 Revolution St, Unit 101, Melbourne, FL 32935 | 2017-09-26 |
| 1386173649 | M Shami | Nurse Practitioner | 401 N Wickham Rd. Suite S, Melbourne, FL 32935 | 2017-06-08 |
| 1588102297 | Chiro Choice A Limited Liability Company | Clinic/Center | 1310 W Eau Galle Blvd Ste A, Melbourne, FL 32935 | 2017-02-02 |
| 1124574835 | A Loving Touch Private Home Care | Home Health | 1595 Palmwood Drive, Melbourne, FL 32935 | 2016-09-01 |
| 1538616099 | Pedro Triana Villamil | Specialist/Technologist, Other | 1600 Sarno Rd. Suite 15, Melbourne, FL 32935 | 2016-09-01 |
| 1528424132 | Lisa Forsythe | Acupuncturist | 1250 W. Eau Gallie Blvd., Suite H, Melbourne, FL 32935 | 2016-01-12 |
| 1528432028 | Harbor City Pharmacy Inc | Pharmacy | 503 Harbor City Blvd., Melbourne, FL 32935 | 2015-11-20 |
| Find all providers in zip 32935 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942826938 | Michelle Stevens | Chiropractor | 5545 N Wickham Rd Ste 108, Melbourne, FL 32940-7323 | 2020-06-25 |
| 1104445048 | Edx of Brevard, LLC | Chiropractor | 2955 Pineda Plaza Way Ste 104, Melbourne, FL 32940-7306 | 2020-04-10 |
| 1619512944 | Alycia Bowles | Chiropractor | 8009 Glastonbury Pl, Melbourne, FL 32940-2141 | 2019-11-11 |
| 1497256663 | Amie Marie Wells | Chiropractor | 2314 Post Rd, Melbourne, FL 32935-2308 | 2018-02-23 |
| 1720592884 | Custom Chiropractic Services LLC | Chiropractor | 1710 Bryan St # 1, Melbourne, FL 32901-4412 | 2017-11-28 |
| 1376056291 | Mauricio Chiropractic Melbourne LLC | Chiropractor | 187 S Wickham Rd Ste 101, Melbourne, FL 32904-1123 | 2017-11-14 |
| 1902341993 | Melbourne Chiropractic, Wellness & Rehab, LLC | Chiropractor | 1103 W Hibiscus Blvd, Suite 405, Melbourne, FL 32901-2714 | 2016-12-29 |
| 1336565621 | Bond Chiropractic Inc. | Chiropractor | 8059 Spyglass Hill Rd, Suite 102, Melbourne, FL 32940-8566 | 2014-03-11 |
| 1538585153 | Brandon Bond | Chiropractor | 7341 Office Park Pl Ste 202, Melbourne, FL 32940-8280 | 2014-03-06 |
| 1003258963 | Rozana Ali Sharma | Chiropractor | 3270 Suntree Blvd Ste 1130, Melbourne, FL 32940-7557 | 2013-07-20 |
| Find all providers in MELBOURNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.