Active NPI
Nicole Bernard, LMT
- Rehabilitation Chiropractor
- Orlando, FL
National Provider Identifier
1184991804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- MA58018
- Practice address
- 805 S Kirkman Rd Ste 207
Orlando, FL 32811-2200 - Phone
- (407) 295-6665
- NPI assigned
- Nov 23, 2011
- Last updated
- Nov 23, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | MA58018 | FL | Primary |
Addresses
Primary practice location
805 S Kirkman Rd Ste 207
Orlando, FL 32811-2200
Mailing address
5234 N Orange Blossom TRL Apt 305
Orlando, FL 32810-1085
Phone (407) 300-0963
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA58018 | FL | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322006400000",
"number": "1184991804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5234 N ORANGE BLOSSOM TRL APT 305",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328101085",
"telephone_number": "407-300-0963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 S KIRKMAN RD STE 207",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328112200",
"telephone_number": "407-295-6665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNARD",
"first_name": "NICOLE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-23",
"last_updated": "2011-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "FL",
"license": "MA58018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.