Nicole Mari Santana Rodriguez, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH12520 Issued in FL

Practice address

4618 E State Road 64
Bradenton, FL 34208-9012

Phone

(941) 405-4088

NPI assigned

Jul 10, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bensa Chiropractic and Wellness

  • Chiropractor
  • Bradenton, FL
  • NPI 1457027922
  Medicare reassignment NPD Authorized official
• Robert J. Indelicato DC

  • Chiropractor
  • Bradenton, FL
  • NPI 1700358397
  NPD (past)

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1083100309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4618 E STATE ROAD 64",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342089012",
            "telephone_number": "386-295-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4618 E STATE ROAD 64",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342089012",
            "telephone_number": "941-405-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANA RODRIGUEZ",
        "first_name": "NICOLE",
        "middle_name": "MARI",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-10",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Sanders
• Leah Denise Sandridge, LCSW
• Kristin Sandusky
• Kelly Travers Sansone, MSW, LSW
• Alvin Rafael Santa-Ana
• Diana Beatriz Santiago Alvarado
• Jonas Justin Tizon Santos, DO
• Karla Santos, MD
• Heather Sapp, FNP-BC
• Sarasota County Public Hospital District

• Chiropractor in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.