Carly Nicole Osborn, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

14026 Issued in FL

Practice address

225 N Causeway
New Smyrna Beach, FL 32169-5239

Phone

(386) 424-9977

NPI assigned

Apr 26, 2022

Last updated

Apr 26, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlantic Wellness CenterGroup PAC ID 7618070418, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Atlantic Wellness Center

  • Nutrition Chiropractor
  • New Smyrna Beach, FL
  • NPI 1245335264
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1760126791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 BOLTON RD",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321688403",
            "telephone_number": "419-577-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N CAUSEWAY",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321695239",
            "telephone_number": "386-424-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "CARLY",
        "middle_name": "NICOLE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "14026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry L. Oestmann, PH.D.
• Omni Nutrition LLC
• Jennifer L Onyski, PA
• Ormond Medical Arts (Complete Health New Smyrna Beach)
• Jacqueline Ortega, D.M.D
• Kilby P Osborn IV, MD
• Thomas W Ownby, MD
• Pamela's Assiduous Medical Services LLC (Pamela's Concierge Primary Care)
• Xingyu Pan, PHARMD
• Timothy Parke, DMD, MBS

• Chiropractor in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.