Organization Active NPI

Health and Abundance Inc

  • Chiropractor
  • Port St Lucie, FL
National Provider Identifier
1841569266
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HEALTH AND ABUNDANCE INC
Practice address
787 E Prima Vista Blvd
Suite a
Port St Lucie, FL 34952-2201
Phone
(772) 579-6201
NPI assigned
Dec 14, 2011
Last updated
Dec 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Authorized official

Name
Mr. Summer Haven Thompson
Title
Vice President
Phone
(772) 579-2386

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

787 E Prima Vista Blvd
Suite a
Port St Lucie, FL 34952-2201

Mailing address

652 SW Paar Dr
Port St Lucie, FL 34953-3903
Phone (772) 579-6201

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120207000725 FL Part B Supplier - Clinic/Group Practice 8123285863 Receives reassigned benefits from 1 practitioner
Practice locations: Port Saint Lucie, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1841569266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 SW PAAR DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349533903",
            "telephone_number": "772-579-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 E PRIMA VISTA BLVD",
            "address_2": "SUITE A",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349522201",
            "telephone_number": "772-579-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH AND ABUNDANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-14",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "SUMMER",
        "authorized_official_middle_name": "HAVEN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "772-579-2386",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.