Individual provider Active NPI

Simone M Archbald, LMT

  • Massage Therapist
  • Spring Hill, FL
National Provider Identifier
1477870483
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA58554 Issued in FL
Practice address
7036 Ortega Ave
Spring Hill, FL 34609-1053
Phone
(813) 880-7577
Fax
(813) 880-7553
NPI assigned
Apr 29, 2010
Last updated
Apr 29, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA58554 FL Primary

Addresses

Primary practice location

7036 Ortega Ave
Spring Hill, FL 34609-1053

Mailing address

7036 Ortega Ave
Spring Hill, FL 34609-1053
Phone (813) 880-7577

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
MA58554FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272499200000",
    "number": "1477870483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7036 ORTEGA AVE",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346091053",
            "telephone_number": "813-880-7577",
            "fax_number": "813-880-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7036 ORTEGA AVE",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346091053",
            "telephone_number": "813-880-7577",
            "fax_number": "813-880-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHBALD",
        "first_name": "SIMONE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA58554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.