Individual provider Active NPI

Nicole A. Orozco, D.C

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1487893566
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9636 Issued in FL
Practice address
12443 San Jose Blvd Ste 303
Live Well for Life, LLC
Jacksonville, FL 32223-8649
Phone
(904) 425-8070
Fax
(904) 371-4598
NPI assigned
Feb 12, 2009
Last updated
Feb 7, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9636 FL Primary

Addresses

Primary practice location

12443 San Jose Blvd Ste 303
Live Well for Life, LLC
Jacksonville, FL 32223-8649

Mailing address

12443 San Jose Blvd
Suite 303
Jacksonville, FL 32223-8646

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

LicenseStateTypeSpecialty
CH9636FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1487893566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12443 SAN JOSE BLVD",
            "address_2": "SUITE 303",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12443 SAN JOSE BLVD STE 303",
            "address_2": "LIVE WELL FOR LIFE, LLC",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238649",
            "telephone_number": "904-425-8070",
            "fax_number": "904-371-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OROZCO",
        "first_name": "NICOLE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-12",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.