Individual provider Active NPI

Nicholas John St. Hilaire, D.C.

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1073681268
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8024 Issued in FL
Practice address
4015 N Armenia Ave
Tampa, FL 33607-1001
Phone
(813) 955-6742
Fax
(813) 873-2042
NPI assigned
Dec 4, 2006
Last updated
Jul 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8024 FL Primary

Addresses

Primary practice location

4015 N Armenia Ave
Tampa, FL 33607-1001

Mailing address

509 S Bayview Blvd
Oldsmar, FL 34677-3509
Phone (813) 955-6742

Other identifiers 2

IdentifierTypeStateIssuer
381504800MedicaidFL
70329OtherFLBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nicholassthilaire@tampaactivehealth.kareodirect.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100914001307 FL Practitioner - Chiropractic 2668597675 Reassigns benefits to 1 organization
Practice locations: Tampa, FL

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4015 N Armenia Ave
Tampa, FL 33607-1001
Phone (813) 955-6742

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Active Health Chiropractor CurrentSince Jan 1, 2018 Accepting new patients
Active Health & Wellness Center, Inc. Chiropractor Past Accepting new patients

Locations

4015 N Armenia Ave
Tampa, FL 33607
Phone (813) 873-2003

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: nicholassthilaire@tampaactivehealth.kareodirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1073681268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 S BAYVIEW BLVD",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346773509",
            "telephone_number": "813-955-6742",
            "fax_number": "813-873-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071001",
            "telephone_number": "813-955-6742",
            "fax_number": "813-873-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. HILAIRE",
        "first_name": "NICHOLAS",
        "middle_name": "JOHN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381504800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "70329",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicholassthilaire@tampaactivehealth.kareodirect.com",
            "affiliation": "N",
            "endpointDescription": "Kareo",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "509 S Bayview Blvd",
            "city": "Oldsmar",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346773509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.