Olivia Mark, CNA

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

18KT00473700 Issued in NJ

Practice address

11889 Sunburst Marble Rd
Riverview, FL 33579-2144

Phone

(609) 456-2344

NPI assigned

Nov 7, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

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": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1609318708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11889 SUNBURST MARBLE RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335792144",
            "telephone_number": "609-456-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11889 SUNBURST MARBLE RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335792144",
            "telephone_number": "609-456-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARK",
        "first_name": "OLIVIA",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-07",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": "CNA384563",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT00473700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor J Manu-Anno, BEHAVIOR TECHNICIAN
• Marangeli Colon, Day-by-Day Support Services
• Marangeli Colon, Day-by-Day Support Services
• Pamela Marcellin
• Mark S Luedke OD PA
• Marquensy Trajean
• Christopher James Joseph Martin, M.D.
• Cierra Ann Kathryn Martin, BEHAVIOR TECHNICIAN
• Craig Randall Martin, M.D.
• Jessica Martin

• Massage Therapist in Riverview, FL
• Providers in Riverview, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.