Active NPI
Nicole Allison Stewart, DC
- Chiropractor
- Valrico, FL
National Provider Identifier
1487121307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH12627
- Practice address
- 1548 Bloomingdale Ave
Valrico, FL 33596-6101 - Phone
- (813) 946-6283
- Fax
- (813) 322-2508
- NPI assigned
- Oct 29, 2018
- Last updated
- Apr 19, 2023
- 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 | CH12627 | FL | Primary |
Addresses
Primary practice location
1548 Bloomingdale Ave
Valrico, FL 33596-6101
Mailing address
1548 Bloomingdale Ave
Valrico, FL 33596-6101
Phone (813) 946-6283
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200113001298 | FL | Practitioner - Chiropractic | 7113945510 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH12627 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CRHG, LLC | Current | Accepting new patients |
Locations
1548 Bloomingdale Ave
Valrico, FL 33596
Phone (813) 702-3559
Organizations & group practices 2
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.
-
- Chiropractor
- Valrico, FL
- NPI 1518422468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681862400000",
"number": "1487121307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1548 BLOOMINGDALE AVE",
"city": "VALRICO",
"state": "FL",
"postal_code": "335966101",
"telephone_number": "813-946-6283",
"fax_number": "813-322-2508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1548 BLOOMINGDALE AVE",
"city": "VALRICO",
"state": "FL",
"postal_code": "335966101",
"telephone_number": "813-946-6283",
"fax_number": "813-322-2508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "NICOLE",
"middle_name": "ALLISON",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-29",
"last_updated": "2023-04-19",
"certification_date": "2023-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH12627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valrico, FL
- Rhonda Lynn Starks
- Ovia Voncile Stephens-Oatman
- Hannah Stephens
- Stepwise Enrichment Center LLC (Stepwise Psychological Services)
- Stewart Chiropractic & Wellness, LLC
- Michelle L Stinehelfer, MS, ATC, PTA
- Sharon Stoddart, APRN
- Gabriela Strangis, MS CCC-SLP
- Renee Strayer, PTA
- Strictly Bizness (One Better Support Care Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.