Individual provider Active NPI

Karianne Losicco Grunert, L.M.T

  • Massage Therapist
  • Juno Beach, FL
National Provider Identifier
1629224464
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 47413 Issued in FL
Practice address
570 Ocean Dr
501
Juno Beach, FL 33408-1952
Phone
(954) 491-2225
Fax
(954) 491-6862
NPI assigned
Aug 12, 2008
Last updated
Aug 12, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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 47413 FL Primary

Addresses

Primary practice location

570 Ocean Dr
501
Juno Beach, FL 33408-1952

Mailing address

615 NE 10TH St
Apt 203
Hallandale Beach, FL 33009-2541
Phone (954) 801-8957

Other identifiers 1

IdentifierTypeStateIssuer
MA 47413OtherFLLICENSED MASSAGE THERAPIST

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
MA 47413FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Massage & Wellness Clinics Massage Therapist Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218499200000",
    "number": "1629224464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 NE 10TH ST",
            "address_2": "APT 203",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092541",
            "telephone_number": "954-801-8957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 OCEAN DR",
            "address_2": "501",
            "city": "JUNO BEACH",
            "state": "FL",
            "postal_code": "334081952",
            "telephone_number": "954-491-2225",
            "fax_number": "954-491-6862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNERT",
        "first_name": "KARIANNE",
        "middle_name": "LOSICCO",
        "name_prefix": "Ms.",
        "credential": "L.M.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA 47413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MASSAGE THERAPIST",
            "identifier": "MA 47413",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Juno Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.