Marlaine Raymond

Primary specialty

ReflexologistTaxonomy code 173C00000X

License

MA54190 Issued in FL

Practice address

4154 Lafayette St
Ste E
Marianna, FL 32446-8282

Phone

(850) 702-1793

NPI assigned

Dec 13, 2015

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

• Marlaine Raymond Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 13, 2015.

{
    "created_epoch": "1449964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449964800000",
    "number": "1275908410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 HIGHWAY 71",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324461867",
            "telephone_number": "850-702-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4154 LAFAYETTE ST",
            "address_2": "STE E",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324468282",
            "telephone_number": "850-702-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "MARLAINE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-13",
        "last_updated": "2015-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "FL",
            "license": "MA54190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLAINE",
            "last_name": "RAYMOND",
            "credential": "MT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2015; 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.