Active NPI
Jenae Nicole Stevens, LMT.
- Massage Therapist
- Plantation, FL
National Provider Identifier
1447583588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA48030
- Practice address
- 10661 NW 14TH St
#232
Plantation, FL 33322-6971 - Phone
- (954) 661-1788
- NPI assigned
- Sep 8, 2009
- 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 | MA48030 | FL | Primary |
Addresses
Primary practice location
10661 NW 14TH St
#232
Plantation, FL 33322-6971
Mailing address
10661 NW 14TH St
#232
Plantation, FL 33322-6971
Phone (954) 661-1788
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA48030 | Other | FL | FLORIDA DEPARTMENT OF HEALTH |
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 |
|---|---|---|---|
| MA48030 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252368000000",
"number": "1447583588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10661 NW 14TH ST",
"address_2": "#232",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333226971",
"telephone_number": "954-661-1788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10661 NW 14TH ST",
"address_2": "#232",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333226971",
"telephone_number": "954-661-1788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "JENAE",
"middle_name": "NICOLE",
"name_prefix": "Miss",
"credential": "LMT.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-08",
"last_updated": "2009-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA48030",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA DEPARTMENT OF HEALTH",
"identifier": "MA48030",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.