Individual provider Active NPI

Nicole Lauren Greenberg, D.C.

  • Chiropractor
  • Fort Pierce, FL
National Provider Identifier
1003144023
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11128 Issued in FL
Practice address
2506 Acorn St
Fort Pierce, FL 34947-4750
Phone
(772) 448-4748
NPI assigned
Dec 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 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 CH11128 FL Primary

Addresses

Primary practice location

2506 Acorn St
Fort Pierce, FL 34947-4750

Mailing address

8060 E Gelding Dr Ste 104
Scottsdale, AZ 85260-6960
Phone (480) 361-8764

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

LicenseStateTypeSpecialty
CH11128FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Obt Chiropractic Inc Current Accepting new patients
Acorn Wellness Center LLC CurrentSince Dec 9, 2019 Accepting new patients

Locations

2506 Acorn St
Fort Pierce, FL 34947
Phone (772) 448-4748

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": "1259712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1003144023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8060 E GELDING DR STE 104",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606960",
            "telephone_number": "480-361-8764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 ACORN ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474750",
            "telephone_number": "772-448-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "NICOLE",
        "middle_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-02",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.