Organization Active NPI

Total Health Associates, LLC

  • Chiropractor
  • Port Saint Lucie, FL
National Provider Identifier
1689018681
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
TOTAL HEALTH ASSOCIATES, LLC
Practice address
1400 SE Goldtree Dr
207
Port Saint Lucie, FL 34952-7582
Phone
(772) 777-2836
Fax
(772) 777-2837
NPI assigned
Apr 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Authorized official

Name
Dr. Shane Donald Whiteley, DC
Title
President
Phone
(772) 777-2836

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X

Addresses

Primary practice location

1400 SE Goldtree Dr
207
Port Saint Lucie, FL 34952-7582

Mailing address

1400 SE Goldtree Dr
207
Port Saint Lucie, FL 34952-7582
Phone (772) 777-2836

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1366416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1689018681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 SE GOLDTREE DR",
            "address_2": "207",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527582",
            "telephone_number": "772-777-2836",
            "fax_number": "772-777-2837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SE GOLDTREE DR",
            "address_2": "207",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527582",
            "telephone_number": "772-777-2836",
            "fax_number": "772-777-2837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL HEALTH ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-20",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "WHITELEY",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-777-2836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.