Individual provider Active NPI

Sarah Nubani, D.C.

  • Chiropractor
  • Palm Coast, FL
National Provider Identifier
1578822649
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10590 Issued in FL
Practice address
69 Buttermill Dr
Palm Coast, FL 32137-3539
Phone
(727) 793-8934
NPI assigned
May 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10590 FL Primary

Addresses

Primary practice location

69 Buttermill Dr
Palm Coast, FL 32137-3539

Mailing address

69 Buttermill Dr
Palm Coast, FL 32137-3539
Phone (727) 793-8934

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160204001769 FL Practitioner - Chiropractic 2062716459 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Space Coast Corporate Health Service P aGroup PAC ID 5799859831, 3 clinicians
Clow Integrated Medical Center PAGroup PAC ID 8820529118, 4 clinicians
Bradley J E Clow D C P aGroup PAC ID 0941361786, 3 clinicians

Practice addresses (Care Compare)

145 Palm Bay Nerd
Suite 120
West Melbourne, FL 32904-8601
Phone (321) 725-8778

145 Palm Bay Rd NE
Suite 120
West Melbourne, FL 32904-8601
Phone (321) 725-8778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10590FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Clow Integrated Medical Center PA CurrentSince Sep 6, 2024 Accepting new patients
Bradley J E Clow D C P a Chiropractor CurrentSince Oct 26, 2015 Accepting new patients
Space Coast Corporate Health Service P a Chiropractor CurrentSince Oct 26, 2015 Accepting new patients

Locations

145 Palm Bay Rd NE
Ste 120
West Melbourne, FL 32904
Phone (321) 725-8778

145 Palm Bay Rd NE
Ste 121
West Melbourne, FL 32904
Phone (321) 725-8778

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336608000000",
    "number": "1578822649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 BUTTERMILL DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373539",
            "telephone_number": "727-793-8934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 BUTTERMILL DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373539",
            "telephone_number": "727-793-8934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUBANI",
        "first_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-10",
        "last_updated": "2012-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "10590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.