Active NPI
Nicholas John St. Hilaire, D.C.
- Chiropractor
- Tampa, FL
National Provider Identifier
1073681268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH8024
- 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, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 381504800 | Medicaid | FL | |
| 70329 | Other | FL | BCBS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa Active Health | Chiropractor | Current | 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
- 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.
-
- Chiropractor
- Tampa, FL
- NPI 1932616000
-
- Chiropractor
- Tampa, FL
- NPI 1578841482
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.