Active NPI
Nicole Marie Minkley, LMT
- Massage Therapist
- Bonita Springs, FL
National Provider Identifier
1497916779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 40279
- Practice address
- 8850 Terrene CT
Suites 102 & 103
Bonita Springs, FL 34135-9525 - Phone
- (239) 595-7716
- NPI assigned
- Jun 19, 2008
- Last updated
- Jun 19, 2008
- 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 | MA 40279 | FL | Primary |
Addresses
Primary practice location
8850 Terrene CT
Suites 102 & 103
Bonita Springs, FL 34135-9525
Mailing address
639 98TH Ave N
Naples, FL 34108-2221
Phone (239) 595-7716
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 |
|---|---|---|---|
| MA 40279 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213833600000",
"number": "1497916779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "639 98TH AVE N",
"city": "NAPLES",
"state": "FL",
"postal_code": "341082221",
"telephone_number": "239-595-7716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8850 TERRENE CT",
"address_2": "SUITES 102 & 103",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341359525",
"telephone_number": "239-595-7716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINKLEY",
"first_name": "NICOLE",
"middle_name": "MARIE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-19",
"last_updated": "2008-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA 40279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bonita Springs, FL
- Mind/Mood Counseling & Coaching Centers of SWFL, PLLC (Reginald Bruno, EdD, LCSW, MCAP)
- Mindescape LLC
- Mindful Musical Minds Behavior Solutions
- Timothy S Mingee, PA-C
- Mini Miracles Pediatrics Medical Daycare Inc
- Misty Mountain Family Enrichment Center (Southwest Florida Christian Counseling)
- Annabel Delcarmen Montenegro, DENTAL HYGIENIST
- Mark Harlow Montgomery, M.D.
- Danielle Moore, BCBA
- Abbey Dupay Morales, D.M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.