Active NPI
Halle Fuentes, LMT
- Massage Therapist
- Orlando, FL
National Provider Identifier
1548720436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA81952
- Practice address
- 12301 Lake Underhill Rd # 254
Orlando, FL 32828-4508 - Phone
- (407) 270-6601
- Fax
- (407) 270-6602
- NPI assigned
- Mar 25, 2019
- Sex
- Female
- Sole proprietor
- No
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 | MA81952 | FL | Primary |
Addresses
Primary practice location
12301 Lake Underhill Rd # 254
Orlando, FL 32828-4508
Mailing address
1052 W State Road 436 Ste 1070
Altamonte Springs, FL 32714-2939
Phone (407) 951-8921
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 |
|---|---|---|---|
| MA81952 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553472000000",
"number": "1548720436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1052 W STATE ROAD 436 STE 1070",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327142939",
"telephone_number": "407-951-8921",
"fax_number": "407-951-8926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12301 LAKE UNDERHILL RD # 254",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328284508",
"telephone_number": "407-270-6601",
"fax_number": "407-270-6602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUENTES",
"first_name": "HALLE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-25",
"last_updated": "2019-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA81952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.