Kelly Ann Dinnan, L.M.T., M.M.P.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA 50409 Issued in FL

Practice address

931 NW 9TH St
Cape Coral, FL 33993-7245

Phone

(239) 225-5293

NPI assigned

Nov 1, 2012

Last updated

Nov 1, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1598019333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 NW 9TH ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339937245",
            "telephone_number": "239-225-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 NW 9TH ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339937245",
            "telephone_number": "239-225-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINNAN",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "L.M.T., M.M.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-01",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA 50409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.