Katrina Tannachion

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA78411 Issued in FL

Practice address

725 SE Baya Dr Ste 101
Lake City, FL 32025-6092

Phone

(386) 292-6966

Fax

(352) 218-8312

NPI assigned

Dec 5, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Elemental Massage LLC

  • Massage Therapist
  • Lake City, FL
  • NPI 1982296554
  NPD

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

{
    "created_epoch": "1607126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1215533310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 SE BAYA DR STE 101",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320256092",
            "telephone_number": "501-563-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 SE BAYA DR STE 101",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320256092",
            "telephone_number": "386-292-6966",
            "fax_number": "352-218-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNACHION",
        "first_name": "KATRINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-05",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA78411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "elementalmassage.kc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "none",
            "address_1": "156 SW Doe Gln",
            "city": "Lake City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320243700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Charles P Sweeney, M.D.
• Lisa Swisher, RDH
• Rita Jean Sypitkowski
• Lauren Danielle Tabis, D.M.D.
• Ciarra Talford
• Patricia Cruz Tayao, M.D.
• Taylen Peaden D.O. PLLC
• Brittany R Taylor
• Dena D Taylor, R.N.
• Donia C Taylor

• Massage Therapist in Lake City, FL
• Providers in Lake City, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.