Individual provider Active NPI

Renee Odette Scioville, LMT

  • Massage Therapist
  • Miami Beach, FL
National Provider Identifier
1598016867
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60434 Issued in FL
Practice address
615 82ND Street
Apt. 2
Miami Beach, FL 33141
Phone
(786) 230-6313
NPI assigned
Sep 27, 2012
Last updated
Sep 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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 MA60434 FL Primary

Addresses

Primary practice location

615 82ND Street
Apt. 2
Miami Beach, FL 33141

Mailing address

615 82ND Street
Apt. 2
Miami Beach, FL 33141
Phone (786) 230-6313

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
MA60434FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1598016867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 82ND STREET",
            "address_2": "APT. 2",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "33141",
            "telephone_number": "786-230-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 82ND STREET",
            "address_2": "APT. 2",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "33141",
            "telephone_number": "786-230-6313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIOVILLE",
        "first_name": "RENEE",
        "middle_name": "ODETTE",
        "name_prefix": "Prof.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA60434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.