Individual provider Active NPI

Tamelia D Lakraj-Edwards, M.D.

  • General Practice Physician
  • Port Saint Lucie, FL
National Provider Identifier
1114367802
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME163629 Issued in FL
Practice address
4531 NW Glazbrook St
Port Saint Lucie, FL 34983-1338
Phone
(772) 780-2396
Fax
(616) 226-4454
NPI assigned
Jun 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME163629 FL Primary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X ME163629 FL

Addresses

Primary practice location

4531 NW Glazbrook St
Port Saint Lucie, FL 34983-1338

Mailing address

4531 NW Glazbrook St
Port Saint Lucie, FL 34983-1338
Phone (772) 780-2396

Other names 1

  • Dr. Tamelia D Lakraj Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230831000837 FL Practitioner - General PracticePractitioner - Osteopathic Manipulative Medicine 9032353230 Reassigns benefits to 1 organization
I20250416003973 FL Practitioner - Osteopathic Manipulative Medicine 9032353230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Karachikitsa Medical PLLCGroup PAC ID 0941725428, 3 clinicians

Practice addresses (Care Compare)

4531 NW Glazbrook St
Port Saint Lucie, FL 34983-1338
Phone (561) 632-2242

Hospital & facility affiliations

  • Nurse One Home Health LLC Home health agency, Boynton Beach, FL, CCN 683127
  • Darcy Hall of Life Care Nursing home, West Palm Beach, FL, CCN 105516

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME163629FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Karachikitsa Medical PLLC Neuromusculoskeletal Medicine & Omm CurrentSince Apr 1, 2025 Accepting new patients

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1114367802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4531 NW GLAZBROOK ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349831338",
            "telephone_number": "772-780-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4531 NW GLAZBROOK ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349831338",
            "telephone_number": "772-780-2396",
            "fax_number": "616-226-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKRAJ-EDWARDS",
        "first_name": "TAMELIA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME163629",
            "primary": true
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "FL",
            "license": "ME163629",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMELIA",
            "last_name": "LAKRAJ",
            "middle_name": "D",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.