Individual provider Active NPI

Chimene Alexis, LMT

  • Contractor
  • Lauderdale Lakes, FL
National Provider Identifier
1447445937
Registry record updated Sep 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
MA49009 Issued in FL
Practice address
4699 N State Road 7
Suite B2
Lauderdale Lakes, FL 33319-5879
Phone
(954) 486-1925
Fax
(954) 486-1983
NPI assigned
Sep 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171W00000X MA49009 FL Primary

Addresses

Primary practice location

4699 N State Road 7
Suite B2
Lauderdale Lakes, FL 33319-5879

Mailing address

4699 N State Road 7
Suite B2
Lauderdale Lakes, FL 33319-5879
Phone (954) 486-1925

Other identifiers 1

IdentifierTypeStateIssuer
MA49009OtherFLLICENSE

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
MA49009FLMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1189209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189209600000",
    "number": "1447445937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4699 N STATE ROAD 7",
            "address_2": "SUITE B2",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195879",
            "telephone_number": "954-486-1925",
            "fax_number": "954-486-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4699 N STATE ROAD 7",
            "address_2": "SUITE B2",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195879",
            "telephone_number": "954-486-1925",
            "fax_number": "954-486-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXIS",
        "first_name": "CHIMENE",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-08",
        "last_updated": "2007-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": "FL",
            "license": "MA49009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MA49009",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

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

Verify at the official NPI Registry.