Nicole A Whitehead, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3495 Issued in NC

Practice address

444 Williamson Rd Ste C
Mooresville, NC 28117-9248

Phone

(704) 663-5142

Fax

(704) 663-5197

NPI assigned

Jan 10, 2007

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 names 1

• Dr. Nicole Rene Anderson Former name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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 and National Provider Directory roles.

• Celebration Chiropractic, P.C.

  • Chiropractor
  • Mooresville, NC
  • NPI 1376690842
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1902956477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 WILLIAMSON RD STE C",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179248",
            "telephone_number": "734-673-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 WILLIAMSON RD STE C",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179248",
            "telephone_number": "704-663-5142",
            "fax_number": "704-663-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "NICOLE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "ANDERSON",
            "middle_name": "RENE",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dan Whisnant, FNP-BC
• White Chiropractic
• Curtis L White, DC
• Kimberly Rowland White, RPH
• Marie Ethel White, COTA/L
• Meredith Whitlow, MT-BC
• Sheila Thornton Whitman, FNP
• Jillian Elizabeth Wiggill, MSOT, OTR
• Peggy Lynn Wike, O.D.
• Sydney Wilson Wike, COTA/L

• Chiropractor in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.