Individual provider Active NPI

Nicole Marie Chapple, DC

  • Chiropractor
  • St Petersburg, FL
National Provider Identifier
1780345405
Registry record updated Apr 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH13856 Issued in FL
Practice address
10601 Gandy Blvd N Apt 3408
St Petersburg, FL 33702-1499
Phone
(248) 346-4005
NPI assigned
Jan 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH13856 FL Primary

Addresses

Primary practice location

10601 Gandy Blvd N Apt 3408
St Petersburg, FL 33702-1499

Mailing address

10601 Gandy Blvd N Apt 3408
St Petersburg, FL 33702-1499
Phone (248) 346-4005

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220224000641 FL Practitioner - Chiropractic 2668866237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Farkas Chiropractic Clinic PAGroup PAC ID 6204925423, 5 clinicians

Practice addresses (Care Compare)

3200 4TH St N
Saint Petersburg, FL 33704-2127
Phone (727) 823-3151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Farkas Chiropractic Clinic PA Chiropractor CurrentSince Jan 4, 2022 Accepting new patients

Locations

3200 4th St N
St Petersburg, FL 33704
Phone (727) 242-8000

3401 Henderson Blvd
Ste B
Tampa, FL 33609
Phone (813) 875-6569

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682726400000",
    "number": "1780345405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10601 GANDY BLVD N APT 3408",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337021499",
            "telephone_number": "248-346-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10601 GANDY BLVD N APT 3408",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337021499",
            "telephone_number": "248-346-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPPLE",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2023-04-29",
        "certification_date": "2023-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2023; 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.