Atlas 1St Health & Wellness Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9842 Issued in FL

Legal business name

ATLAS 1ST HEALTH & WELLNESS CENTER, LLC

Practice address

1600 W Eau Gallie Blvd
Ste. #104
Melbourne, FL 32935-4149

Phone

(321) 622-4447

NPI assigned

Feb 20, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Renee Lynn Hahn, D.C.NPI 1659527901

Title

Owner

Phone

(321) 622-4447

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Upper Cervical Health Centers of America Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Renee Lynn Hahn, D.C.

  • Chiropractor
  • Melbourne, FL
  • NPI 1659527901
  Medicare reassignment NPD Authorized official
• Nofar Gabay Nugent

  • Chiropractor
  • Melbourne, FL
  • NPI 1760345888
  Medicare reassignment NPD
• Devin Perdue, D.C.

  • Chiropractor
  • St. Petersburg, FL
  • NPI 1306398714
  Medicare reassignment NPD
• Carissa Stallings, DC

  • Chiropractor
  • Melbourne, FL
  • NPI 1215622105
  Medicare reassignment NPD

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329696000000",
    "number": "1144593385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W EAU GALLIE BLVD",
            "address_2": "STE. #104",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329354149",
            "telephone_number": "321-622-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W EAU GALLIE BLVD",
            "address_2": "STE. #104",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329354149",
            "telephone_number": "321-622-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS 1ST HEALTH & WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-20",
        "last_updated": "2012-02-20",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-622-4447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1659527901",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upper Cervical Health Centers of America",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; 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.