Active NPI
Tammie S. Carpenter, LMT
- Massage Therapist
- Palm Bay, FL
National Provider Identifier
1417067422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 15134
- Practice address
- 1320 Palm Bay Rd NE
Palm Bay, FL 32905-3837 - Phone
- (321) 720-4704
- NPI assigned
- Aug 30, 2006
- Last updated
- Jul 8, 2007
- 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 | 15134 | FL | Primary |
Addresses
Primary practice location
1320 Palm Bay Rd NE
Palm Bay, FL 32905-3837
Mailing address
3195 N Tropical TRL
Merritt Island, FL 32953-8218
Phone (321) 720-4704
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 |
|---|---|---|---|
| 15134 | FL | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417067422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3195 N TROPICAL TRL",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329538218",
"telephone_number": "321-720-4704",
"fax_number": "321-454-4712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 PALM BAY RD NE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329053837",
"telephone_number": "321-720-4704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "TAMMIE",
"middle_name": "S.",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "15134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.