Individual provider Active NPI

Janet Kay Indiviglio, LMT

  • Contractor
  • Palm Beach Gardens, FL
National Provider Identifier
1174901383
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
MA49723 Issued in FL
Practice address
11211 Prosperity Farms Rd Ste D223
Palm Beach Gardens, FL 33410-3487
Phone
(561) 622-4706
NPI assigned
May 8, 2015
Last updated
May 8, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X MA49723 FL Primary

Addresses

Primary practice location

11211 Prosperity Farms Rd Ste D223
Palm Beach Gardens, FL 33410-3487

Mailing address

1707 Consulate PL Apt 203
West Palm Beach, FL 33401-1849
Phone (561) 891-0594

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
MA49723FLMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431043200000",
    "number": "1174901383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 CONSULATE PL APT 203",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334011849",
            "telephone_number": "561-891-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11211 PROSPERITY FARMS RD STE D223",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103487",
            "telephone_number": "561-622-4706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INDIVIGLIO",
        "first_name": "JANET",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-08",
        "last_updated": "2015-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "FL",
            "license": "MA49723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.