Active NPI
Doreen Melissa Navedo
- Massage Therapist
- Stamford, CT
National Provider Identifier
1073240933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 010036
- Practice address
- 1544 Bedford St Apt 11
Stamford, CT 06905-4790 - Phone
- (475) 419-4359
- NPI assigned
- Aug 2, 2022
- 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 | 010036 | CT | Primary |
Addresses
Primary practice location
1544 Bedford St Apt 11
Stamford, CT 06905-4790
Mailing address
1544 Bedford St Apt 11
Stamford, CT 06905-4790
Phone (475) 419-4359
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 |
|---|---|---|---|
| 010036 | CT | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1073240933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1544 BEDFORD ST APT 11",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069054790",
"telephone_number": "475-419-4359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1544 BEDFORD ST APT 11",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069054790",
"telephone_number": "475-419-4359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAVEDO",
"first_name": "DOREEN",
"middle_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-02",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CT",
"license": "010036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.