Angela Denise Stephens, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA85712 Issued in FL

Practice address

319 W Town PL
St Augustine, FL 32092-3101

Phone

(904) 680-7238

NPI assigned

Aug 29, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23920/brand/1/csg/1/fhir/r4
• Direct secure messaging: info@mindysmassage.com

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1043930464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 W TOWN PL",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923101",
            "telephone_number": "904-680-7238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 W TOWN PL",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923101",
            "telephone_number": "904-680-7238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "ANGELA",
        "middle_name": "DENISE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA85712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@mindysmassage.com",
            "affiliation": "N",
            "endpointDescription": "info@mindysmassage.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "319 W Town Pl",
            "city": "St Augustine",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320923101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Susan Rollo Stein, M.S., R.D., L.D.
• Sharon Lynn Steinmetz, A.R.N.P.
• Stephanie Kinsey DDS
• Stephen Strout, DMD, Ms
• Stephens Memorial Home
• Cynthia Stephens, CRNA
• Steven R. Freeman DDS PL
• Mary R Steves
• Cameron Alexander Stewart, DC
• Elissa Anne Stewart

• Massage Therapist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.