Individual provider Active NPI

Michelle Layle, LMT

  • Massage Therapist
  • Lake City, FL
National Provider Identifier
1235840703
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA71468 Issued in FL
Practice address
725 SE Baya Dr Ste 101
Lake City, FL 32025-6092
Phone
(850) 771-8550
NPI assigned
Dec 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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 MA71468 FL Primary

Addresses

Primary practice location

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

Mailing address

1249 SW Ridge St
Lake City, FL 32024-3360
Phone (850) 771-8550

Other names 1

  • Michelle Hunter Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL elementalmassage.kc@gmail.com Health Information Exchange (HIE) Elemental Massage LLC

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
MA71468FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cypress Blue Spa LLC Massage Therapist Current Accepting new patients

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": "1670284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1235840703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 SW RIDGE ST",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320243360",
            "telephone_number": "850-771-8550"
        },
        {
            "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": "850-771-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYLE",
        "first_name": "MICHELLE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA71468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "elementalmassage.kc@gmail.com",
            "affiliation": "Y",
            "endpointDescription": "location email",
            "affiliationName": "Elemental Massage LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure email",
            "address_1": "725 SE Baya Dr Ste 101",
            "city": "Lake City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320256092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "HUNTER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.