Ryan Nickens, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH10966 Issued in FL

Practice address

11621 S Cleveland Ave
Unit 80
Fort Myers, FL 33907-2866

Phone

(321) 615-7998

NPI assigned

Feb 26, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thrive Wheat Ridge LLCGroup PAC ID 0042520991, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Thrive Wheat Ridge LLC

  • Chiropractor
  • Arvada, CO
  • NPI 1407223589
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1386069417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11621 S CLEVELAND AVE",
            "address_2": "UNIT 80",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072866",
            "telephone_number": "239-690-7794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11621 S CLEVELAND AVE",
            "address_2": "UNIT 80",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072866",
            "telephone_number": "321-615-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKENS",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-26",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Jackson Nichols
• Cameron Lee Nicholson, M.D.
• Kaitlin Elaine Nicholson, ATC
• Kimberly A Nicholson, MD
• Antonio Nickel, PA-C
• Diane Nicolette
• Tricia Lynne Nicolette, MS, CCC-SLP
• Debra E. Nicolosi
• Kelly Marie Nicolosi, OTR
• Joseph Nicotra, M.D.

• Chiropractor in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.