Active NPI
Krischell Scarleth Brand, MA73471
- Massage Therapist
- Winter Haven, FL
National Provider Identifier
1295377828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA73471
- Practice address
- 2791 Lake Alfred Rd
Winter Haven, FL 33881-1432 - Phone
- (863) 291-4590
- NPI assigned
- Oct 15, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA73471 | FL | Primary |
Addresses
Primary practice location
2791 Lake Alfred Rd
Winter Haven, FL 33881-1432
Mailing address
414 8TH St S
Dundee, FL 33838-4336
Phone (863) 668-1397
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA73471 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571097600000",
"number": "1295377828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 8TH ST S",
"city": "DUNDEE",
"state": "FL",
"postal_code": "338384336",
"telephone_number": "863-668-1397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2791 LAKE ALFRED RD",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338811432",
"telephone_number": "863-291-4590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAND",
"first_name": "KRISCHELL",
"middle_name": "SCARLETH",
"credential": "MA73471",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-15",
"last_updated": "2019-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA73471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.