Individual provider Active NPI

Alicia Samuel-Ninou, B.S., M.M.P

  • Massage Therapist
  • Orlando, FL
National Provider Identifier
1619429172
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 74765 Issued in FL
Practice address
1460 N Goldenrod Rd
#135
Orlando, FL 32807-8365
Phone
(321) 512-1320
NPI assigned
Nov 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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 MA 74765 FL Primary

Addresses

Primary practice location

1460 N Goldenrod Rd
#135
Orlando, FL 32807-8365

Mailing address

1460 N Goldenrod Rd
#135
Orlando, FL 32807-8365
Phone (321) 512-1320

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
MA 74765FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Asnmassage LLC Massage Therapist Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1619429172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 N GOLDENROD RD",
            "address_2": "#135",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328078365",
            "telephone_number": "321-512-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 N GOLDENROD RD",
            "address_2": "#135",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328078365",
            "telephone_number": "321-512-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL-NINOU",
        "first_name": "ALICIA",
        "name_prefix": "Ms.",
        "credential": "B.S., M.M.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA 74765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.