Individual provider Active NPI

Sabrina Ranee Lacalle Fullen, DC

  • Chiropractor
  • Cape Coral, FL
National Provider Identifier
1265201495
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH14789 Issued in FL
Practice address
818 SE 47TH St # 1
Cape Coral, FL 33904-9793
Phone
(392) 414-8447
NPI assigned
Dec 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH14789 FL Primary

Addresses

Primary practice location

818 SE 47TH St # 1
Cape Coral, FL 33904-9793

Mailing address

818 SE 47TH St # 1
Cape Coral, FL 33904-9793
Phone (392) 414-8447

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

LicenseStateTypeSpecialty
CH14789FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Solutions by Dr Sabrina, PLLC Chiropractor CurrentSince Jan 7, 2024 Accepting new patients

Locations

818 SE 47th St
#1
Cape Coral, FL 33904
Phone (239) 414-8447

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1265201495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 SE 47TH ST # 1",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339049793",
            "telephone_number": "392-414-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 SE 47TH ST # 1",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339049793",
            "telephone_number": "392-414-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLEN",
        "first_name": "SABRINA",
        "middle_name": "RANEE LACALLE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-28",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.