Kelley Nicole Hensley, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

14359 Issued in FL

Practice address

310 Third St Ste B
Port St Joe, FL 32456-1834

Phone

(850) 227-6250

NPI assigned

Sep 12, 2006

Last updated

Jul 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Chirolife Wellness

  • Chiropractor
  • Port St Joe, FL
  • NPI 1548045727
  Authorized official Same address or phone
• PCFW Acquisition, LLC

  dba Pinnacle Chiropractic and Family Wellness

  • Chiropractor
  • Rogers, AR
  • NPI 1467187112
  NPD
• Jay Chiropractic Health and Rehabilitation LLC

  dba East Wellness

  • Chiropractor
  • Grove, OK
  • NPI 1346317278
  NPD (past)
• Jay Chiropractic Health and Rehabilitation, LLC

  dba East Wellness

  • Preferred Provider Organization
  • Grove, OK
  • NPI 1841690831
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1174627814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 SEA GROVE WAY",
            "city": "PORT ST JOE",
            "state": "FL",
            "postal_code": "324564831",
            "telephone_number": "479-721-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 THIRD ST STE B",
            "city": "PORT ST JOE",
            "state": "FL",
            "postal_code": "324561834",
            "telephone_number": "850-227-6250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3201 Market St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727588168",
            "country_code": "US",
            "telephone_number": "479-715-6772",
            "fax_number": "479-715-6901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENSLEY",
        "first_name": "KELLEY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "14359",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1706",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "44903662001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barry L. Hand
• Stacy L Harbin, MD
• Noel Jason Hartough, LMHC
• Eric Haynam, D.D.S
• Amy Wynn Heath, RN
• HQM of Port St. Joe, LLC (Bay St. Joseph Care & Rehabilitation Center)
• Paul J Hunt Jr., M.D.
• Tracey Hyche, PHARMD, CPH
• Integras Therapy and Wellness Centers Inc. (Beacon Villa Retirement Center)
• Vincent M Ivers

• Chiropractor in Port St Joe, FL
• Providers in Port St Joe, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.