Individual provider Active NPI

Nichole Roedel

  • Chiropractor
  • Temple, TX
National Provider Identifier
1689266116
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14682 Issued in TX
Practice address
61 N Kegley Rd
Temple, TX 76502-4067
Phone
(254) 899-2225
NPI assigned
Feb 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14682 TX Primary

Addresses

Primary practice location

61 N Kegley Rd
Temple, TX 76502-4067

Mailing address

11771 Mira Lago Blvd Apt 1134
Farmers Branch, TX 75234-6470
Phone (952) 270-5059

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210504000617 TX Practitioner - Chiropractic 1759790751 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Injury Treatment Services PLLCGroup PAC ID 6406086032, 22 clinicians

Practice addresses (Care Compare)

61 N Kegley Rd
Temple, TX 76502-4067
Phone (254) 899-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14682TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgetown Integrated Medical PLLC Chiropractor CurrentSince Dec 6, 2025 Accepting new patients
Comprehensive Injury Treatment Services PLLC CurrentSince Apr 6, 2021 Accepting new patients
Waco Integrated Medical PLLC CurrentSince Dec 6, 2025 Accepting new patients

Locations

101 Cooperative Way
Ste 235
Georgetown, TX 78626
Phone (512) 630-0060

300 W Central Texas Expy
Killeen, TX 76541
Phone (225) 754-2448

61 N Kegley Rd
Temple, TX 76502
Phone (254) 899-2225

1602 W Avenue A
Temple, TX 76504
Phone (254) 778-6474

1602 W Avenue A
Ste B
Temple, TX 76504
Phone (254) 778-6474

5000 W Waco Dr
Waco, TX 76710
Phone (254) 537-1064

1139 N Loop 340
Waco, TX 76705
Phone (254) 799-8343

Organizations & group practices 3

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": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1689266116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11771 MIRA LAGO BLVD APT 1134",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752346470",
            "telephone_number": "952-270-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 N KEGLEY RD",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765024067",
            "telephone_number": "254-899-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEDEL",
        "first_name": "NICHOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.