Individual provider Active NPI

Cassidi Nicole Tolliver, DC

  • Chiropractor
  • Clearwater, FL
National Provider Identifier
1427893478
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH15059 Issued in FL
Practice address
3024 Sandpiper PL
Clearwater, FL 33762-3060
Phone
(727) 686-3100
NPI assigned
Jul 1, 2024
Last updated
Mar 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH15059 FL Primary

Addresses

Primary practice location

3024 Sandpiper PL
Clearwater, FL 33762-3060

Mailing address

3024 Sandpiper PL
Clearwater, FL 33762-3060
Phone (727) 686-3100

Other practice location 1

5116 N Armenia Ave
Tampa, FL 33603-1406
Phone (727) 686-3100

Other names 1

  • Cassidi Nicole Dodgson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH15059FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tolly Health and Performance LLC Chiropractor CurrentSince Mar 24, 2025 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1427893478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 SANDPIPER PL",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337623060",
            "telephone_number": "727-686-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 SANDPIPER PL",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337623060",
            "telephone_number": "727-686-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5116 N Armenia Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336031406",
            "country_code": "US",
            "telephone_number": "727-686-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOLLIVER",
        "first_name": "CASSIDI",
        "middle_name": "NICOLE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH15059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSIDI",
            "last_name": "DODGSON",
            "middle_name": "NICOLE",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.