Lydia Shawn Smith, B.A., L.M.T.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA0008807 Issued in FL

Practice address

411 N. Donnelly Street Suite 311
Beneficial Massage
Mt. Dora, FL 32757-5596

Phone

(352) 383-8007

NPI assigned

Dec 24, 2007

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

Credentials

Bachelor of Arts

State licenses

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198454400000",
    "number": "1013191196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 N. DONNELLY STREET SUITE 311",
            "address_2": "BENEFICIAL MASSAGE",
            "city": "MT. DORA",
            "state": "FL",
            "postal_code": "32757",
            "telephone_number": "352-383-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N. DONNELLY STREET SUITE 311",
            "address_2": "BENEFICIAL MASSAGE",
            "city": "MT. DORA",
            "state": "FL",
            "postal_code": "327575596",
            "telephone_number": "352-383-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LYDIA",
        "middle_name": "SHAWN",
        "name_prefix": "Miss",
        "credential": "B.A., L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA0008807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicia Smith
• Jacqueline Lenore Smith
• Jessica Smith
• Kayla Marie Smith
• Lamont Smith
• Rachel Anne Smith, PTA
• Sharlene Hope Smith, ARNP
• Hayley Snell
• Southern Respiratory, Inc
• Rebecca Spencer

• Massage Therapist in Mt. Dora, FL
• Providers in Mt. Dora, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; 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.