Nicolle J Schultze, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10469 Issued in FL

Practice address

3959 S Nova Rd Ste 9
Port Orange, FL 32127-4900

Phone

(727) 220-6778

NPI assigned

Nov 14, 2017

Last updated

Jan 2, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pura Vida Chiropractic LLC

  dba Pura Vida Chiropractic

  • Chiropractor
  • Port Orange, FL
  • NPI 1700359759
  Authorized official Same address or phone

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1912410838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5609 VICTORIA GARDENS BLVD APT 1603",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321278975",
            "telephone_number": "727-220-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 S NOVA RD STE 9",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274900",
            "telephone_number": "727-220-6778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "187 S Wickham Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329041123",
            "country_code": "US",
            "telephone_number": "321-372-5033",
            "fax_number": "321-372-5034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULTZE",
        "first_name": "NICOLLE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-14",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "10469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalia Schmidt, DC
• Kristin Schneider, OT
• Jason David Schottel, ARNP
• Edwin William Schroeder Jr.
• Katherine Schroeder
• Claire Schwartz
• Stephanie Lynn Schwartz, PHYSICAL THERAPIST
• Erin L Scott, DC
• America Seach
• Rachelle Leigh Seidenberg, DC

• Chiropractor in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.