Active NPI
Mira Kathryn Strivelli, LMT
- Contractor
- Tallahassee, FL
National Provider Identifier
1609090356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- MA 48920
- Practice address
- 1289 Cerdar Center Dr
Tallahassee, FL 32301 - Phone
- (850) 942-4114
- NPI assigned
- Apr 12, 2007
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | MA 48920 | FL | Primary |
Addresses
Primary practice location
1289 Cerdar Center Dr
Tallahassee, FL 32301
Mailing address
1427 Fisher LN
Tallahassee, FL 32301-4901
Phone (850) 545-4852
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 48920 | FL | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609090356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1427 FISHER LN",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323014901",
"telephone_number": "850-545-4852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1289 CERDAR CENTER DR",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "32301",
"telephone_number": "850-942-4114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRIVELLI",
"first_name": "MIRA",
"middle_name": "KATHRYN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "FL",
"license": "MA 48920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.