Active NPI
Sharon B Noles, RN, RRT, LMT
- Massage Therapist
- Crystal River, FL
National Provider Identifier
1104140672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA53473
- Practice address
- 855 NE 4TH St
Crystal River, FL 34429-4415 - Phone
- (352) 422-7853
- Fax
- (352) 794-3234
- NPI assigned
- Mar 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | MA53473 | FL | Primary |
Addresses
Primary practice location
855 NE 4TH St
Crystal River, FL 34429-4415
Mailing address
1812 Kimberly LN
Inverness, FL 34452-4408
Phone (352) 422-7853
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA53473 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269907200000",
"number": "1104140672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1812 KIMBERLY LN",
"city": "INVERNESS",
"state": "FL",
"postal_code": "344524408",
"telephone_number": "352-422-7853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 NE 4TH ST",
"city": "CRYSTAL RIVER",
"state": "FL",
"postal_code": "344294415",
"telephone_number": "352-422-7853",
"fax_number": "352-794-3234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLES",
"first_name": "SHARON",
"middle_name": "B",
"credential": "RN, RRT, LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-26",
"last_updated": "2010-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA53473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crystal River, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.