Individual provider Active NPI

Leilani Melissa Hayes, L.M.T.; L.P.N.

  • Massage Therapist
  • St Augustine, FL
National Provider Identifier
1558556449
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
29013 Issued in FL
Practice address
2180 A1A S Ste 100
Saint Augustine, FL 32080-6523
Phone
(904) 669-9336
NPI assigned
Sep 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 5174052 FL
Massage Therapist 225700000X 29013 FL Primary

Addresses

Primary practice location

2180 A1A S Ste 100
Saint Augustine, FL 32080-6523

Mailing address

2180 A1A S Ste 100
Saint Augustine, FL 32080-6523
Phone (904) 669-9336

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
5174052FLMDLicensed Practical Nurse
29013FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189641600000",
    "number": "1558556449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 A1A S STE 100",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320806523",
            "telephone_number": "904-669-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 A1A S STE 100",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320806523",
            "telephone_number": "904-669-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "LEILANI",
        "middle_name": "MELISSA",
        "name_prefix": "Miss",
        "credential": "L.M.T.; L.P.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "5174052",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "29013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.

Verify at the official NPI Registry.