Heather Lee Graeme

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA38511 Issued in FL

Practice address

235 31St St N
Saint Petersburg, FL 33713-1000

Phone

(727) 643-3318

Fax

(727) 906-0150

NPI assigned

Jun 19, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Indigo Spirit

  • Massage Therapist
  • St Petersburg, FL
  • NPI 1669012712

  Single Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1407416589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 31ST ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337131000",
            "telephone_number": "727-643-3318",
            "fax_number": "727-906-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 31ST ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337131000",
            "telephone_number": "727-643-3318",
            "fax_number": "727-906-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAEME",
        "first_name": "HEATHER",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA38511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace in Home Primary Care, LLC
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• Grace Street Counseling
• Zamira Maria Gracia Valenzuela, RBT
• Grady Management Corp. (Farmer's Retirement Home)
• Graham Center Inc
• Tracey Graham-Henderson
• Jamie Graham, DO
• Kristal Pearl Graham, CNA
• Sarah C Graham, APRN FNP-C PMHNP-BC

• Massage Therapist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.

Verify at the official NPI Registry.