Active NPI
Nicole Lauree St Cyr, D.C.
- Chiropractor
- Colchester, CT
National Provider Identifier
1659539666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 001425
- Practice address
- 139 South Main Street
2ND Floor
Colchester, CT 06415 - Phone
- (860) 346-1160
- Fax
- (860) 346-1160
- NPI assigned
- May 27, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 001425 | CT | Primary |
Addresses
Primary practice location
139 South Main Street
2ND Floor
Colchester, CT 06415
Mailing address
139 South Main Street
2ND Floor
Colchester, CT 06415
Phone (860) 346-1160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001425 | CT | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677801600000",
"number": "1659539666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 SOUTH MAIN STREET",
"address_2": "2ND FLOOR",
"city": "COLCHESTER",
"state": "CT",
"postal_code": "06415",
"telephone_number": "860-346-1160",
"fax_number": "860-346-1160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 SOUTH MAIN STREET",
"address_2": "2ND FLOOR",
"city": "COLCHESTER",
"state": "CT",
"postal_code": "06415",
"telephone_number": "860-346-1160",
"fax_number": "860-346-1160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST CYR",
"first_name": "NICOLE",
"middle_name": "LAUREE",
"name_prefix": "Ms.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-27",
"last_updated": "2023-03-03",
"certification_date": "2023-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "001425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.