Individual provider Active NPI

Tarvehale Saunders, RN, LMT

  • Massage Therapist
  • Lauderdale by the Sea, FL
National Provider Identifier
1184486722
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA93531 Issued in FL
Practice address
242 Commercial Blvd Ste a
Lauderdale by the Sea, FL 33308-4496
Phone
(954) 652-1852
NPI assigned
Jan 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Massage Therapist (NMT) 163WM1400X RN9491616 FL
Massage Therapist 225700000X MA93531 FL Primary

Addresses

Primary practice location

242 Commercial Blvd Ste a
Lauderdale by the Sea, FL 33308-4496

Mailing address

4855 NW 57TH CT
Tamarac, FL 33319-2302
Phone (954) 652-1852

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

LicenseStateTypeSpecialty
RN9491616FLMDNurse Massage Therapist (NMT)
MA93531FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mind'S Eye Day Spa Inc. Nurse Massage Therapist (NMT) CurrentSince Feb 4, 2024 Accepting new patients

Locations

242 Commercial Blvd
Ste A
Lauderdale by the Sea, FL 33308
Phone (954) 652-1852

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.

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1184486722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 NW 57TH CT",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333192302",
            "telephone_number": "954-652-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 COMMERCIAL BLVD STE A",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333084496",
            "telephone_number": "954-652-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUNDERS",
        "first_name": "TARVEHALE",
        "credential": "RN, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": "FL",
            "license": "RN9491616",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA93531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale by the Sea, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.