Individual provider Active NPI

Nicole Tompkins, DC

  • Chiropractor
  • St Petersburg, FL
National Provider Identifier
1609546019
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH13348 Issued in FL
Practice address
360 Central Ave Ste 480
St Petersburg, FL 33701-3983
Phone
(727) 498-5643
NPI assigned
Sep 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH13348 FL Primary

Addresses

Primary practice location

360 Central Ave Ste 480
St Petersburg, FL 33701-3983

Mailing address

1303 24TH St E
Palmetto, FL 34221

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220824000078 FL Practitioner - Chiropractic 3577946508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic and Massage of North PortGroup PAC ID 3870856834, 3 clinicians

Practice addresses (Care Compare)

14942 Tamiami TRL
Suite L
North Port, FL 34287-2705
Phone (941) 564-8083

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH13348FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic & Massage of North Port Chiropractor CurrentSince Aug 15, 2022 Accepting new patients
Blossom Family Chiropractic Chiropractor PastSince Sep 23, 2021 Accepting new patients

Locations

14942 Tamiami Trl
Ste L
North Port, FL 34287
Phone (815) 545-6307

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1609546019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 24TH ST E",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "34221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 CENTRAL AVE STE 480",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013983",
            "telephone_number": "727-498-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMPKINS",
        "first_name": "NICOLE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.