Individual provider Active NPI

Laura Pate, DC

  • Chiropractor
  • Port St Lucie, FL
National Provider Identifier
1871765040
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 9538 Issued in FL
Practice address
1973 SW Savage Blvd
Port St Lucie, FL 34953-2791
Phone
(772) 214-2037
NPI assigned
Mar 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 9538 FL Primary

Addresses

Primary practice location

1973 SW Savage Blvd
Port St Lucie, FL 34953-2791

Mailing address

1973 SW Savage Blvd
Port St Lucie, FL 34953-2791

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080903000301 FL Practitioner - Chiropractic 5395811053 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 9538FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Healthcare Advanced Chiropractic P a CurrentSince Apr 29, 2008 Accepting new patients

Locations

1973 SW Savage Blvd
Ste 111
Port St Lucie, FL 34953
Phone (772) 214-2037

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": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244592000000",
    "number": "1871765040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1973 SW SAVAGE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349532791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1973 SW SAVAGE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349532791",
            "telephone_number": "772-214-2037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATE",
        "first_name": "LAURA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-28",
        "last_updated": "2009-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 9538",
            "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 Jun 10, 2009; 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.