Active NPI
Schereen Ann Young, LMT
- Massage Therapist
- Palm Coast, FL
National Provider Identifier
1326898297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA79776
- Practice address
- 25 Florida Park Dr. N.
Palm Coast, FL 32137 - Phone
- (386) 569-9663
- NPI assigned
- Mar 25, 2024
- Last updated
- Mar 25, 2024
- 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 | MA79776 | FL | Primary |
Addresses
Primary practice location
25 Florida Park Dr. N.
Palm Coast, FL 32137
Mailing address
25 Florida Park Dr. N.
Palm Coast, FL 32137
Phone (386) 569-9663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DH11089 | Medicaid | FL |
Other names 1
- Ms. Schereen Ann Doutt
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 |
|---|---|---|---|
| MA79776 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massage by Scheri, LLC | Massage Therapist | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Massage Therapist
- Palm Coast, FL
- NPI 1396642476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711324800000",
"number": "1326898297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 FLORIDA PARK DR. N.",
"city": "PALM COAST",
"state": "FL",
"postal_code": "32137",
"telephone_number": "386-569-9663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 FLORIDA PARK DR. N.",
"city": "PALM COAST",
"state": "FL",
"postal_code": "32137",
"telephone_number": "386-569-9663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "SCHEREEN",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-25",
"last_updated": "2024-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA79776",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DH11089",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SCHEREEN",
"last_name": "DOUTT",
"middle_name": "ANN",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.