Active NPI
Linda F Wakeman, LMT
- Specialist
- Miami, FL
National Provider Identifier
1467563940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA12991
- Practice address
- 5590 SW 78TH St
Apt D
Miami, FL 33143-5641 - Phone
- (305) 661-1339
- NPI assigned
- Aug 31, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA12991 | FL | Primary |
Addresses
Primary practice location
5590 SW 78TH St
Apt D
Miami, FL 33143-5641
Mailing address
5590 SW 78TH St
Apt D
Miami, FL 33143-5641
Phone (305) 661-1339
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA12991 | FL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467563940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5590 SW 78TH ST",
"address_2": "APT D",
"city": "MIAMI",
"state": "FL",
"postal_code": "331435641",
"telephone_number": "305-661-1339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5590 SW 78TH ST",
"address_2": "APT D",
"city": "MIAMI",
"state": "FL",
"postal_code": "331435641",
"telephone_number": "305-661-1339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAKEMAN",
"first_name": "LINDA",
"middle_name": "F",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "MA12991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, 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.