Changing Tides Chiropractic and Wellness LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CHANGING TIDES CHIROPRACTIC AND WELLNESS LLC

Practice address

1000 Plantation Island Dr S Ste 9
Saint Augustine, FL 32080-3106

Phone

(904) 217-0715

Fax

(904) 217-0746

NPI assigned

Aug 5, 2019

Organization subpart

No

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

Authorized official

Name

Eliana Melendez-Santiago, DC

Title

Owner/Doctor

Phone

(904) 217-0715

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Eliana Maria Melendez, D.C.

  • Chiropractor
  • St Augustine, FL
  • NPI 1699252205
  Medicare reassignment Care Compare group NPD
• Andrew K Warren, DC

  • Chiropractor
  • Saint Augustine, FL
  • NPI 1043780307
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564963200000",
    "number": "1184279382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 PLANTATION ISLAND DR S STE 9",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320803106",
            "telephone_number": "904-217-0715",
            "fax_number": "904-217-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PLANTATION ISLAND DR S STE 9",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320803106",
            "telephone_number": "904-217-0715",
            "fax_number": "904-217-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING TIDES CHIROPRACTIC AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ-SANTIAGO",
        "authorized_official_first_name": "ELIANA",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "904-217-0715",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1699252205",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brett Chandler, PT,DPT
• Heather Nicole Chandler
• Jessica Lynn Chandler
• Lauren Chane, LCSW
• Changing Tides Chiropractic & Wellness, LLC.
• Sydney Ray Channon
• Susan Bouchard Chappuis, ARNP-C
• Lisa A Chase, PT
• Erica Chatila
• Sharon Cheatle, OTR

• Chiropractor in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.