Active NPI
Victoria J Vislocky, DC
- Chiropractor
- Port St Lucie, FL
National Provider Identifier
1326367269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 9980
- Practice address
- 149 SW Port St Lucie Blvd
Port St Lucie, FL 34984-5017 - Phone
- (772) 621-7777
- Fax
- (772) 335-4912
- NPI assigned
- May 18, 2010
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH 9980 | FL | Primary |
Addresses
Primary practice location
149 SW Port St Lucie Blvd
Port St Lucie, FL 34984-5017
Mailing address
149 SW Port St Lucie Blvd
Port St Lucie, FL 34984-5017
Phone (772) 621-7777
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 9980 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seacoast Clinic of Chiropractic Inc | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Port Saint Lucie, FL
- NPI 1235458720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319673600000",
"number": "1326367269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 SW PORT ST LUCIE BLVD",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349845017",
"telephone_number": "772-621-7777",
"fax_number": "772-335-4912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 SW PORT ST LUCIE BLVD",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349845017",
"telephone_number": "772-621-7777",
"fax_number": "772-335-4912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VISLOCKY",
"first_name": "VICTORIA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-18",
"last_updated": "2011-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 9980",
"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 Oct 27, 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.