Paradise Palms Chiropractic and Spa, LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

CH10645 Issued in FL

Legal business name

PARADISE PALMS CHIROPRACTIC AND SPA, LLC

Practice address

19011 N Dale Mabry Hwy
Lutz, FL 33548-9200

Phone

(813) 948-1781

Fax

(813) 406-4434

NPI assigned

Nov 2, 2015

Last updated

Jul 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Heidi Pickering, DCNPI 1356643423

Title

Owner/Doctor

Phone

(813) 948-1781

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heidi Jane Pickering, DC

  • Chiropractor
  • Lutz, FL
  • NPI 1356643423
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1558734467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19011 N DALE MABRY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335489200",
            "telephone_number": "813-948-1781",
            "fax_number": "813-406-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19011 N DALE MABRY HWY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335489200",
            "telephone_number": "813-948-1781",
            "fax_number": "813-406-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE PALMS CHIROPRACTIC AND SPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "PICKERING",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "813-948-1781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "FL",
            "license": "CH10645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn Anita Palmeri, RDMS (OB/GYN)
• Solangie Palmero, BCBA
• Tiera Sophia Palmisano
• Sunil J Panchal, MD
• Lili Papia, PHARM.D
• Elizabeth Rose Pare, ARNP
• Anet Pargas, M.D.
• Purvi A Parikh
• Soh Young Park, AP,DOM
• Kailin Carroll Parker

• Exclusive Provider Organization in Lutz, FL
• Providers in Lutz, FL by specialty
• Exclusive Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.