Wanda I. Nieves-Moreno, DC, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH8811 Issued in FL

Legal business name

WANDA I. NIEVES-MORENO, DC, LLC

Practice address

654 E Bloomingdale Ave
Brandon, FL 33511-8111

Phone

(813) 685-5200

Fax

(813) 654-8758

NPI assigned

Jun 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Wanda I. Nieves-Moreno, D.C.NPI 1891780037

Title

Managing Member

Phone

(813) 685-5200

Specialties & licenses 1

Addresses

Other names 1

• Brandon Chiropractic and Massage Doing business as

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.

• Wanda Ivelisse Nieves-Moreno, D.C.

  • Chiropractor
  • Brandon, FL
  • NPI 1891780037
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1639463516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 E BLOOMINGDALE AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118111",
            "telephone_number": "813-685-5200",
            "fax_number": "813-654-8758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 E BLOOMINGDALE AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118111",
            "telephone_number": "813-685-5200",
            "fax_number": "813-654-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANDA I. NIEVES-MORENO, DC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "NIEVES-MORENO",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "813-685-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brandon Chiropractic and Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carey J Walls IV
• Darlene Walsh
• Kelly Walsh, LPTA
• Darrell Ray Walter, O.D.
• Chad Waltz, DDS
• Wanderlust Experience
• Kailyn Nicole Wapinsky, PA-C
• Randy Carl Warndahl
• Natalya Warner, LCSW
• Fallon Warren

• Chiropractor in Brandon, FL
• Providers in Brandon, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.