Individual provider Active NPI

Melinda Dawn Sykes, LMT

  • Massage Therapist
  • Lakeland, FL
National Provider Identifier
1619747953
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA47172 Issued in FL
Practice address
255 N Kentucky Ave Ste 301
Lakeland, FL 33801-4981
Phone
(863) 860-1408
NPI assigned
Jan 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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 MA47172 FL Primary

Addresses

Primary practice location

255 N Kentucky Ave Ste 301
Lakeland, FL 33801-4981

Mailing address

1504 Watson Oaks CT
Lakeland, FL 33809-6864
Phone (863) 860-1408

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
MA47172FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Massage by Melinda Massage Therapist CurrentSince Feb 11, 2024 Accepting new patients

Locations

255 N Kentucky Ave
Ste 301
Lakeland, FL 33801
Phone (863) 860-1408

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": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1619747953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 WATSON OAKS CT",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338096864",
            "telephone_number": "863-860-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N KENTUCKY AVE STE 301",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338014981",
            "telephone_number": "863-860-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYKES",
        "first_name": "MELINDA",
        "middle_name": "DAWN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA47172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.