Active NPI
Diana Fogle Bianchet, LMT
- Massage Therapist
- Tampa, FL
National Provider Identifier
1043570583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 52905
- Practice address
- 6322 Gunn Hwy
Tampa, FL 33625-4105 - Phone
- (813) 864-3998
- Fax
- (813) 864-3141
- NPI assigned
- May 17, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA 52905 | FL | Primary |
Addresses
Primary practice location
6322 Gunn Hwy
Tampa, FL 33625-4105
Mailing address
3037 Clover Blossom Cir
Land O Lakes, FL 34638-7985
Phone (703) 220-9864
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 |
|---|---|---|---|
| MA 52905 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nucci Medical Clinic, LLC | Past | Accepting new patients | |
| Splinter Anesthesia Services, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337212800000",
"number": "1043570583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3037 CLOVER BLOSSOM CIR",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346387985",
"telephone_number": "703-220-9864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6322 GUNN HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336254105",
"telephone_number": "813-864-3998",
"fax_number": "813-864-3141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIANCHET",
"first_name": "DIANA",
"middle_name": "FOGLE",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-17",
"last_updated": "2012-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA 52905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.