Active NPI
Paula Arlene Nievas, LMT
- Massage Therapist
- Hollywood, FL
National Provider Identifier
1366638652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 1578694915
- Practice address
- 4407 Sheridan St
Holistic Massage & Wellness Clinics
Hollywood, FL 33021 - Phone
- (954) 893-7233
- Fax
- (954) 893-5635
- NPI assigned
- Sep 20, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 1578694915 | FL | Primary |
Addresses
Primary practice location
4407 Sheridan St
Holistic Massage & Wellness Clinics
Hollywood, FL 33021
Mailing address
11652 NE 11 Place
North Miami, FL 33161
Phone (305) 525-8612
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA48642 | Other | FL | STATE OF FLORIDA |
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 |
|---|---|---|---|
| 1578694915 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190246400000",
"number": "1366638652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11652 NE 11 PLACE",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "33161",
"telephone_number": "305-525-8612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4407 SHERIDAN ST",
"address_2": "HOLISTIC MASSAGE & WELLNESS CLINICS",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "33021",
"telephone_number": "954-893-7233",
"fax_number": "954-893-5635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEVAS",
"first_name": "PAULA",
"middle_name": "ARLENE",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-20",
"last_updated": "2007-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "1578694915",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF FLORIDA",
"identifier": "MA48642",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.