Individual provider Active NPI

Alison Marie Nida, D.C

  • Chiropractor
  • Merritt Island, FL
National Provider Identifier
1497931000
Registry record updated Jul 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9487 Issued in FL
Practice address
950 N Courtenay Pkwy
Ste. 1
Merritt Island, FL 32953-4501
Phone
(321) 453-2545
Fax
(321) 452-6452
NPI assigned
Jan 14, 2008
Last updated
Jul 27, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9487 FL Primary

Addresses

Primary practice location

950 N Courtenay Pkwy
Ste. 1
Merritt Island, FL 32953-4501

Mailing address

PO Box 541925
Merritt Island, FL 32954-1925
Phone (304) 617-9150

Other identifiers 1

IdentifierTypeStateIssuer
382313000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080812000593 FL Practitioner - Chiropractic 1951476886 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH9487FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hoffman Chiropractic Clinic, P.a. Chiropractor Past Accepting new patients
Fogarty Chiropractic Life Clinic PA Chiropractor PastSince Nov 21, 2017 Accepting new patients
Berthiaume Chiropractic PA Chiropractor Past Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406419200000",
    "number": "1497931000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 541925",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329541925",
            "telephone_number": "304-617-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N COURTENAY PKWY",
            "address_2": "STE. 1",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534501",
            "telephone_number": "321-453-2545",
            "fax_number": "321-452-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIDA",
        "first_name": "ALISON",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2014-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382313000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2014; 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.

Verify at the official NPI Registry.