Individual provider Active NPI

Karen Marie Llaguno, LMT

  • Massage Therapist
  • Winter Haven, FL
National Provider Identifier
1376946707
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA24179 Issued in FL
Practice address
2775 Lake Alfred Rd
Winter Haven, FL 33881-1432
Phone
(863) 291-4590
NPI assigned
Sep 30, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 4648 KY
Massage Therapist 225700000X MA24179 FL Primary

Addresses

Primary practice location

2775 Lake Alfred Rd
Winter Haven, FL 33881-1432

Mailing address

12171 SW 268TH St
Homestead, FL 33032-8001
Phone (305) 278-0200

Other identifiers 2

IdentifierTypeStateIssuer
KY4648OtherKYKENTUCKY BOARD OF LICENSURE FOR MASSAGE THERAPY
MA24179OtherFLFLORIDA BOARD OF OF LICENSURE FOR MASSAGE THERAPY

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
MA24179FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1376946707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12171 SW 268TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328001",
            "telephone_number": "305-278-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 LAKE ALFRED RD",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338811432",
            "telephone_number": "863-291-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLAGUNO",
        "first_name": "KAREN",
        "middle_name": "MARIE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-30",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "KY",
            "license": "4648",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA24179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY BOARD OF LICENSURE FOR MASSAGE THERAPY",
            "identifier": "KY4648",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF OF LICENSURE FOR MASSAGE THERAPY",
            "identifier": "MA24179",
            "state": "FL"
        }
    ],
    "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 Apr 9, 2021; 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.