Wanda Ivelisse Nieves-Moreno, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH8811 Issued in FL

Practice address

654 E Bloomingdale Ave
Brandon, FL 33511-8111

Phone

(813) 685-5200

Fax

(813) 654-8758

NPI assigned

Sep 14, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Wanda I. Nieves-Moreno, DC, LLC

  • Chiropractor
  • Brandon, FL
  • NPI 1639463516
  Medicare reassignment NPD Authorized official
• Brandon Integrated Healthcare Clinics Inc

  • Chiropractor
  • Brandon, FL
  • NPI 1487706438
  NPD (past)
• Chiropractic Trust LLC

  • Chiropractor
  • Kissimmee, FL
  • NPI 1801990551
  NPD (past)
• Patient Management Consulting LLC

  • Chiropractor
  • Kissimmee, FL
  • NPI 1275958498
  NPD (past)

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1891780037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 E BLOOMINGDALE AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118111",
            "telephone_number": "813-685-5200",
            "fax_number": "813-654-8758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 E BLOOMINGDALE AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118111",
            "telephone_number": "813-685-5200",
            "fax_number": "813-654-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES-MORENO",
        "first_name": "WANDA",
        "middle_name": "IVELISSE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381946900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "U6011Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew M Nieber V, D.D.S.
• Mickey Niehoff, D.C.
• Amber Chrystal Nieto Ramirez
• Vivianne Nieto
• Dylan Rosenberg Nieves Palma, M.S.;LCPC;LPC;LMHC
• Nancy Nieves, APRN, FNP-BC
• Kathleen Teresa Nightlinger, MS, OTRL
• Fnu Nirander, M.D.
• Whitney Elise Nishikawa, CCC-SLP
• Cullen Reed Nisson, MD

• Chiropractor in Brandon, FL
• Providers in Brandon, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.