Nicole Danielle Richarson-Sicre, DC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

CH13984 Issued in FL

Practice address

13224 Sr 64
Bradenton, FL 34212-9403

Phone

(571) 220-1362

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Chiropractic Sport and Family Wellness LLC

  • Rehabilitation Chiropractor
  • Bradenton, FL
  • NPI 1992572986
  NPD
• Active Family Chiroparctic

  • Chiropractor
  • Reston, VA
  • NPI 1073771176
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1730266644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13224 SR 64",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342129403",
            "telephone_number": "941-777-2739",
            "fax_number": "941-225-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13224 SR 64",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342129403",
            "telephone_number": "571-220-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARSON-SICRE",
        "first_name": "NICOLE",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13984",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104555806",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH13984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "010687814",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Rizzuto MD PA
• Allegra Richardson
• Meriem Richardson, APRN
• Ryan Christopher Richardson, PA-C
• Teresa Diane Richardson, RN
• H John Richmond, DMD
• Federico M Richter, MD
• Kelli Riddle, DDS
• Sean Riegle
• Sarah Rifai, DO

• Rehabilitation Chiropractor in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Rehabilitation Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.