Ayanna Femi Ferebee, LICENSE NURSE

Primary specialty

Nurse Massage Therapist (NMT)Taxonomy code 163WM1400X

License

LP54990 Issued in MD

Practice address

111 S Gilmor St
Baltimore, MD 21223-2498

Phone

(443) 435-1871

NPI assigned

Aug 12, 2020

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 identifiers 1

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.

• Miracle Minerals & Massage

  • Nurse Massage Therapist (NMT)
  • Baltimore, MD
  • NPI 1336750124
  NPD Authorized official

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597449600000",
    "number": "1043821226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S GILMOR ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212232498",
            "telephone_number": "443-435-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S GILMOR ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212232498",
            "telephone_number": "443-435-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEREBEE",
        "first_name": "AYANNA",
        "middle_name": "FEMI",
        "credential": "LICENSE NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-15",
        "certification_date": "2020-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": "MD",
            "license": "LP54990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LP54990",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Graeme Alex Fenton, MD
• Jon B Ferber, MS, ATC, CSCS, EMT-B
• Ferbet Take Care Health Maryland, P.C.
• Suzanne Ferdman, CRNP
• Jannatul Ferdous, LGSW
• Yewlsow Ferede, PHARMD
• Omar Fereja Fereja, PHYSICIAN ASSISTANT
• Meira Ference, LMSW
• Amy M Ferenschak, PT
• Lisa Roslyn Ferentz, M.S.W. L.C.S.W.-C

• Nurse Massage Therapist (NMT) in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Nurse Massage Therapist (NMT) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2020; 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.