Individual provider Active NPI

Nicole Marie Palmer, D.C.

  • Chiropractor
  • Ocoee, FL
National Provider Identifier
1629285226
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12639 Issued in FL
Practice address
10155 E. Colonial Dr
Ocoee, FL 34761-4209
Phone
(407) 203-6870
Fax
(407) 386-6672
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2007003954 MO
Chiropractor 111N00000X 08002423A IN
Chiropractor 111N00000X CH12639 FL Primary

Addresses

Primary practice location

10155 E. Colonial Dr
Ocoee, FL 34761-4209

Mailing address

10155 E. Colonial Dr
Ocoee, FL 34761-4209
Phone (407) 203-6870

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200324002450 FL Practitioner - Chiropractic 9931278785

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH12639FLMDChiropractor
08002423AINMDChiropractor
2007003954MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kinective Care Wellness Chiropractor Current Accepting new patients
Pleasant Hill Family Chiropractic LLC Chiropractor CurrentSince Feb 18, 2020 Accepting new patients

Locations

1672 Pleasant Hill Rd
Kissimmee, FL 34746
Phone (407) 350-4840

318 W Bass St
Kissimmee, FL 34741
Phone (407) 931-1492

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1629285226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10155 E. COLONIAL DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614209",
            "telephone_number": "407-203-6870",
            "fax_number": "407-386-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10155 E. COLONIAL DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614209",
            "telephone_number": "407-203-6870",
            "fax_number": "407-386-6672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2007003954",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002423A",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.