Active NPI
Tasheka Fiona Nelson
- Massage Therapist
- Ocoee, FL
National Provider Identifier
1407454432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- L17000024455
- Practice address
- 2910 Maguire Rd Ste 1002
Ocoee, FL 34761-4742 - Phone
- (407) 654-0557
- NPI assigned
- Oct 12, 2020
- 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 | L17000024455 | FL | Primary |
Addresses
Primary practice location
2910 Maguire Rd Ste 1002
Ocoee, FL 34761-4742
Mailing address
2546 Dovetail Dr
Ocoee, FL 34761-8649
Phone (757) 202-8572
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 79218 | Other | FL | FLORIDA MASSAGE THERAPIST LICENSE |
| 79218 | Other | FL | FLORIDA MASSAGE LICENSE |
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 |
|---|---|---|---|
| L17000024455 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602460800000",
"number": "1407454432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2546 DOVETAIL DR",
"city": "OCOEE",
"state": "FL",
"postal_code": "347618649",
"telephone_number": "757-202-8572",
"fax_number": "321-352-7901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2910 MAGUIRE RD STE 1002",
"city": "OCOEE",
"state": "FL",
"postal_code": "347614742",
"telephone_number": "407-654-0557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "TASHEKA",
"middle_name": "FIONA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-12",
"last_updated": "2020-10-12",
"certification_date": "2020-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "L17000024455",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA MASSAGE THERAPIST LICENSE",
"identifier": "79218",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA MASSAGE LICENSE",
"identifier": "79218",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ocoee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.