Individual provider Active NPI

Andrea Nicole Gomez-Archeval, DC

  • Chiropractor
  • Hobe Sound, FL
National Provider Identifier
1639951700
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH14699 Issued in FL
Practice address
5691 SE Crooked Oak Ave
Hobe Sound, FL 33455-8319
Phone
(772) 600-8159
NPI assigned
Oct 13, 2023
Last updated
Oct 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH14699 FL Primary

Addresses

Primary practice location

5691 SE Crooked Oak Ave
Hobe Sound, FL 33455-8319

Mailing address

4542 Estates Cir
Loxahatchee, FL 33470-7054
Phone (561) 714-0157

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250328001847 FL Practitioner - Chiropractic 5991228124 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Beach Health Center PLLCGroup PAC ID 7810327673, 5 clinicians
Palm Beach Health Center East PLLCGroup PAC ID 4587027511, 4 clinicians

Practice addresses (Care Compare)

1011 N State Rd
7 Suite D
Royal Palm Beach, FL 33411-5184
Phone (561) 333-8353

7420 S Dixie Hwy
West Palm Beach, FL 33405-4812
Phone (561) 588-7780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Health Center East PLLC Chiropractor CurrentSince Feb 1, 2025 Accepting new patients
Palm Beach Health Center PLLC CurrentSince Feb 23, 2025 Accepting new patients
Seaside Wellness Group LLC Chiropractor CurrentSince Oct 15, 2023 Accepting new patients
Mallen Chiropractic Inc. Chiropractor PastSince Feb 1, 2025 Accepting new patients

Locations

5691 SE Crooked Oak Ave
Hobe Sound, FL 33455
Phone (727) 600-8159

1011 N State Road 7
Ste D
Royal Palm Beach, FL 33411
Phone (561) 333-8353

7420 S Dixie Hwy
West Palm Beach, FL 33405
Phone (561) 588-7780

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22313/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1697155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1639951700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4542 ESTATES CIR",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334707054",
            "telephone_number": "561-714-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5691 SE CROOKED OAK AVE",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334558319",
            "telephone_number": "772-600-8159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ-ARCHEVAL",
        "first_name": "ANDREA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-13",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobe Sound, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.