Renee Marie Provost-Hunter

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA49153 Issued in FL

Practice address

512 Commerce Center 709G
Sebastian, FL 32958-6965

Phone

(772) 713-7720

NPI assigned

Nov 4, 2009

Last updated

Nov 4, 2009By 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

Other names 1

• Ms. Renee Marie Provost-Hunter Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257292800000",
    "number": "1023345550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 PELICAN ISLAND PL",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329586965",
            "telephone_number": "772-713-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 COMMERCE CENTER 709G",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329586965",
            "telephone_number": "772-713-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROVOST-HUNTER",
        "first_name": "RENEE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-04",
        "last_updated": "2009-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA49153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "PROVOST-HUNTER",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Massage Therapist in Sebastian, FL
• Providers in Sebastian, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; 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.