Individual provider Active NPI

Paige Lynn Prather, LPN, LMT

  • Licensed Practical Nurse
  • Lehigh Acres, FL
National Provider Identifier
1629595798
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN5249933 Issued in FL
Practice address
5225 7TH St W
Lehigh Acres, FL 33971-1034
Phone
(239) 321-2989
NPI assigned
Aug 29, 2017
Last updated
Jul 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X MA82606 FL
Massage Therapist 225700000X MA82606 FL
Licensed Practical Nurse 164W00000X PN5249933 FL Primary

Addresses

Primary practice location

5225 7TH St W
Lehigh Acres, FL 33971-1034

Mailing address

5225 7TH St W
Lehigh Acres, FL 33971-1034
Phone (239) 321-2989

Other identifiers 2

IdentifierTypeStateIssuer
MA82606OtherFLFLORIDA BOARD OF MASSAGE
PN5249933OtherFLFLORIDA BOARD OF NURSING

Other names 1

  • Paige Lynn Rinehart Former name

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
PN5249933FLMDLicensed Practical Nurse
MA82606FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1629595798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 7TH ST W",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711034",
            "telephone_number": "239-321-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 7TH ST W",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711034",
            "telephone_number": "239-321-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATHER",
        "first_name": "PAIGE",
        "middle_name": "LYNN",
        "credential": "LPN, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "FL",
            "license": "MA82606",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA82606",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5249933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF MASSAGE",
            "identifier": "MA82606",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF NURSING",
            "identifier": "PN5249933",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAIGE",
            "last_name": "RINEHART",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.