Individual provider Active NPI

Alene Nicole Cabrera, D.C.

  • Chiropractor
  • Ormond Beach, FL
National Provider Identifier
1013289586
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10229 Issued in FL
Practice address
400 Clyde Morris Blvd Ste C
Ormond Beach, FL 32174-8172
Phone
(386) 672-3305
Fax
(800) 429-7089
NPI assigned
Jan 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10229 FL Primary

Addresses

Primary practice location

400 Clyde Morris Blvd Ste C
Ormond Beach, FL 32174-8172

Mailing address

400 Clyde Morris Blvd Ste C
Ormond Beach, FL 32174-8172
Phone (386) 672-3305

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120224000645 FL Practitioner - Chiropractic 5698933497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cea III LLCGroup PAC ID 2163599572, 2 clinicians

Practice addresses (Care Compare)

400 Clyde Morris Blvd
Suite C
Ormond Beach, FL 32174-8172
Phone (386) 672-3305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cea III LLC Chiropractor CurrentSince Apr 20, 2023 Accepting new patients
First Choice Chiropractic of Ormond, Inc Chiropractor PastSince Jan 16, 2011 Accepting new patients

Locations

400 Clyde Morris Blvd
Ste C
Ormond Beach, FL 32174
Phone (386) 672-3305

Networks

  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • FL PPO
  • AL HMO D-SNP
  • FL HMO D-SNP
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • AL HMO
  • FL HMO
  • FL HMO C-SNP
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef

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": "1327968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1013289586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CLYDE MORRIS BLVD STE C",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748172",
            "telephone_number": "386-672-3305",
            "fax_number": "800-429-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CLYDE MORRIS BLVD STE C",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748172",
            "telephone_number": "386-672-3305",
            "fax_number": "800-429-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA",
        "first_name": "ALENE",
        "middle_name": "NICOLE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-31",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.