Active NPI
Olivia Poppen
- Chiropractor
- Orlando, FL
National Provider Identifier
1982355491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2022000505
- Practice address
- 5201 Raymond St
Orlando, FL 32803-8208 - Phone
- (407) 646-5500
- NPI assigned
- Jan 16, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | F1-0011102 | DE | |
| Chiropractor | 111N00000X | 2022000505 | MO | Primary |
Addresses
Primary practice location
5201 Raymond St
Orlando, FL 32803-8208
Mailing address
919 Westfall Rd BLDG B
Rochester, NY 14618-2638
Phone (585) 463-2600
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 |
|---|---|---|---|
| F1-0011102 | DE | MD | Chiropractor |
| 2022000505 | MO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707091200000",
"number": "1982355491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "919 WESTFALL RD BLDG B",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146182638",
"telephone_number": "585-463-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 RAYMOND ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328038208",
"telephone_number": "407-646-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPPEN",
"first_name": "OLIVIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-16",
"last_updated": "2024-02-05",
"certification_date": "2024-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "DE",
"license": "F1-0011102",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2022000505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.