Individual provider Active NPI

Jamie Lynn Kliewe, LMT

  • Massage Therapist
  • Naples, FL
National Provider Identifier
1255705034
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA68203 Issued in FL
Practice address
720 Goodlette Rd N Ste 205
Naples, FL 34102-5656
Phone
(239) 404-3876
Fax
(239) 431-5551
NPI assigned
Nov 17, 2015
Last updated
May 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2019

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 MA68203 FL Primary

Addresses

Primary practice location

720 Goodlette Rd N Ste 205
Naples, FL 34102-5656

Mailing address

720 Goodlette Rd N Ste 205
Naples, FL 34102-5656
Phone (239) 404-3876

Other practice location 1

201 8th St S Ste 307
Naples, FL 34102-6117
Phone (239) 234-1608

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
MA68203FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1255705034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 GOODLETTE RD N STE 205",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025656",
            "telephone_number": "239-404-3876",
            "fax_number": "239-431-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 GOODLETTE RD N STE 205",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025656",
            "telephone_number": "239-404-3876",
            "fax_number": "239-431-5551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 8th St S Ste 307",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341026117",
            "country_code": "US",
            "telephone_number": "239-234-1608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLIEWE",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-17",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA68203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; 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.