Active NPI
Adriane Cardoso I, LMT
- Massage Therapist
- Port Saint Lucie, FL
National Provider Identifier
1073127387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA91702
- Practice address
- 642 SE Streamlet Ave
Port Saint Lucie, FL 34983-4658 - Phone
- (954) 512-7611
- NPI assigned
- Sep 3, 2020
- 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 | MA91702 | FL | Primary |
Addresses
Primary practice location
642 SE Streamlet Ave
Port Saint Lucie, FL 34983-4658
Mailing address
642 SE Streamlet Ave
Port Saint Lucie, FL 34983-4658
Phone (954) 512-7611
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 |
|---|---|---|---|
| MA91702 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599091200000",
"number": "1073127387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "642 SE STREAMLET AVE",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349834658",
"telephone_number": "954-512-7611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "642 SE STREAMLET AVE",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349834658",
"telephone_number": "954-512-7611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDOSO",
"first_name": "ADRIANE",
"name_suffix": "I",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-03",
"last_updated": "2020-09-03",
"certification_date": "2020-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA91702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Saint Lucie, FL
- Kellie Marie Cardenas, CRNA
- Oscar A Cardenas, RN, BSN, CCRN
- Daniela Cardet Camejo
- Dianys Cardet Fonseca, RBT23-318259
- Maria Elizazbeth Cardona, ADN ONS RN
- Care With Love LLC
- Caring Hands of the Treasure Coast, LLC
- Caring Hearts of the Treasure Coast
- Caring Hearts Staffing Agency
- Caring Linq LLC (Caring Linq Medical & Wellness Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.