Active NPI
Nicolle J Schultze, D.C.
- Chiropractor
- Port Orange, FL
National Provider Identifier
1912410838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 10469
- Practice address
- 3959 S Nova Rd Ste 9
Port Orange, FL 32127-4900 - Phone
- (727) 220-6778
- NPI assigned
- Nov 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 10469 | FL | Primary |
Addresses
Primary practice location
3959 S Nova Rd Ste 9
Port Orange, FL 32127-4900
Mailing address
5609 Victoria Gardens Blvd Apt 1603
Port Orange, FL 32127-8975
Phone (727) 220-6778
Other practice location 1
187 S Wickham Rd Ste 101
Melbourne, FL 32904-1123
Phone (321) 372-5033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10469 | FL | MD | Occupational Therapist |
NPI Registry JSON
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": []
}
Other providers in Port Orange, FL
Sources for this page
- 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.