Diedra Michelle Nicoletto, MA39156

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA39156 Issued in FL

Practice address

801 Turner St
Clearwater, FL 33756-5633

Phone

(727) 313-2882

NPI assigned

Jul 31, 2009

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

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1427289016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4851",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337584851",
            "telephone_number": "727-313-2882",
            "fax_number": "727-313-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 TURNER ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337565633",
            "telephone_number": "727-313-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLETTO",
        "first_name": "DIEDRA",
        "middle_name": "MICHELLE",
        "credential": "MA39156",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-31",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA39156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NH Asl Dunedin Tenant, LLC
• Bryan Scott Nicholas, DC
• Donna L Nichols, D.M.D.
• Jane Ann Nichols, P.T.
• Danielle Nicholson
• Manuela Nicolini
• Gerald A Niedzwiecki, MD
• Katherine Nielsen, R.PH.
• Giovanny I Nieves
• Lunae Nieves

• Massage Therapist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.