Individual provider Active NPI

Danielle Alexis Buyea, LMT

  • Massage Therapist
  • St Petersburg, FL
National Provider Identifier
1497043426
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA56672 Issued in FL
Practice address
680 79TH Ter N
311
St Petersburg, FL 33702-4392
Phone
(727) 600-2827
NPI assigned
Jul 11, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

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 MA56672 FL Primary

Addresses

Primary practice location

680 79TH Ter N
311
St Petersburg, FL 33702-4392

Mailing address

680 79TH Ter N
311
St Petersburg, FL 33702-4392
Phone (727) 600-2827

Other names 1

  • Danielle Alexis Bottari Former name

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
MA56672FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310342400000",
    "number": "1497043426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 79TH TER N",
            "address_2": "311",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024392",
            "telephone_number": "727-600-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 79TH TER N",
            "address_2": "311",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024392",
            "telephone_number": "727-600-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUYEA",
        "first_name": "DANIELLE",
        "middle_name": "ALEXIS",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2011-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA56672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "BOTTARI",
            "middle_name": "ALEXIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; 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.