Individual provider Active NPI

Vera Lynn Gardner, LMT

  • Massage Therapist
  • New Port Richey, FL
National Provider Identifier
1124268537
Registry record updated Dec 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA31752 Issued in FL
Practice address
5112 Hemlock Dr
New Port Richey, FL 34652-4213
Phone
(727) 848-5006
Fax
(727) 848-5006
NPI assigned
Feb 24, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA31752 FL Primary
Reflexologist 173C00000X MA31752 FL
Mechanotherapist 172M00000X MA31752 FL

Addresses

Primary practice location

5112 Hemlock Dr
New Port Richey, FL 34652-4213

Mailing address

5112 Hemlock Dr
New Port Richey, FL 34652-4213
Phone (727) 848-5006

Other identifiers 2

IdentifierTypeStateIssuer
MA31752OtherFLSTATE OF FLORIDA DEPARTMENT OF HEALTH
290687-00OtherFLNATIONAL CERTIFICATION BOARD FOR THERAPEUTIC MASSAGE AND BODYWORK

Other names 1

  • Mrs. Vera Lynn Buscemi Former name

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

LicenseStateTypeSpecialty
MA31752FLMDReflexologist

NPI Registry JSON

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387584000000",
    "number": "1124268537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5112 HEMLOCK DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524213",
            "telephone_number": "727-848-5006",
            "fax_number": "727-848-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5112 HEMLOCK DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524213",
            "telephone_number": "727-848-5006",
            "fax_number": "727-848-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "VERA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-24",
        "last_updated": "2013-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA31752",
            "primary": true
        },
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "FL",
            "license": "MA31752",
            "primary": false
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "FL",
            "license": "MA31752",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "MA31752",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL CERTIFICATION BOARD FOR THERAPEUTIC MASSAGE AND BODYWORK",
            "identifier": "290687-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VERA",
            "last_name": "BUSCEMI",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2013; 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.