Individual provider Active NPI

Ana Maria Williamsen, L.M.T.

  • Massage Therapist
  • Merritt Island, FL
National Provider Identifier
1225367352
Registry record updated Dec 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA14374 Issued in FL
Practice address
262 E Merritt Island Cswy
Suite 18
Merritt Island, FL 32952-3675
Phone
(321) 459-2032
NPI assigned
Dec 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA14374 FL Primary

Addresses

Primary practice location

262 E Merritt Island Cswy
Suite 18
Merritt Island, FL 32952-3675

Mailing address

1528 Stafford Ave
Merritt Island, FL 32952-5449
Phone (321) 302-8224

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
MA14374FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1261267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261267200000",
    "number": "1225367352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 STAFFORD AVE",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329525449",
            "telephone_number": "321-302-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 E MERRITT ISLAND CSWY",
            "address_2": "SUITE 18",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523675",
            "telephone_number": "321-459-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSEN",
        "first_name": "ANA",
        "middle_name": "MARIA",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-20",
        "last_updated": "2009-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA14374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2009; 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.