Nathalie Blum, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 9429 Issued in FL

Practice address

12641 San Jose Blvd
Jacksonville, FL 32223

Phone

(904) 606-6007

Fax

(904) 376-8738

NPI assigned

Oct 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Nathalie Seide Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• DME DC Provider LLC

  • Chiropractor
  • Jacksonville, FL
  • NPI 1295228039
  NPD (past) Authorized official
• Family Focus Chiropractic LLC

  • Chiropractor
  • St Augustine, FL
  • NPI 1922573161
  NPD (past)
• Sea Spine Orthopedics Institute LLC

  • Orthopaedic Surgery Physician
  • Orlando, FL
  • NPI 1578887675
  NPD (past)

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1962699199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 BUCKEYE LN W",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322594387",
            "telephone_number": "904-606-6007",
            "fax_number": "904-376-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12641 SAN JOSE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32223",
            "telephone_number": "904-606-6007",
            "fax_number": "904-376-8738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6640 103rd St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322107150",
            "country_code": "US",
            "telephone_number": "904-317-6628",
            "fax_number": "904-317-6625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUM",
        "first_name": "NATHALIE",
        "name_prefix": "Mrs.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-02",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 9429",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9429",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATHALIE",
            "last_name": "SEIDE",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bluebird Specialty Pharmacy LLC
• Michael Kenneth Bluett, M.D.
• Blum Health LLC
• Brianna Leigh Blum, DDS
• Chelsea Blum, NP
• Clifford Blumenberg, M.D.
• Daniel Mark Blumenthal, MD, MBA
• Kimberly G Blumenthal, M.D.
• Renee Marie Bluml, MS, RD
• Danielle Blunt

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.