Individual provider Active NPI

Haley Trombley

  • Chiropractor
  • Port St Lucie, FL
National Provider Identifier
1215343462
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11252 Issued in FL
Practice address
1430 SW Saint Lucie West Blvd
Suite 103
Port St Lucie, FL 34986-2134
Phone
(772) 785-8500
Fax
(772) 785-8511
NPI assigned
Jul 9, 2014
Last updated
Jul 9, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH11252 FL Primary

Addresses

Primary practice location

1430 SW Saint Lucie West Blvd
Suite 103
Port St Lucie, FL 34986-2134

Mailing address

1430 SW Saint Lucie West Blvd
Suite 103
Port St Lucie, FL 34986-2134
Phone (772) 785-8500

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1215343462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 SW SAINT LUCIE WEST BLVD",
            "address_2": "SUITE 103",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862134",
            "telephone_number": "772-785-8500",
            "fax_number": "772-785-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 SW SAINT LUCIE WEST BLVD",
            "address_2": "SUITE 103",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862134",
            "telephone_number": "772-785-8500",
            "fax_number": "772-785-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROMBLEY",
        "first_name": "HALEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.