Individual provider Active NPI

Nicole Abraham

  • Massage Therapist
  • Winter Park, FL
National Provider Identifier
1629618954
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA68216 Issued in FL
Practice address
917 N Pennsylvania Ave
Winter Park, FL 32789-2456
Phone
(407) 616-7753
NPI assigned
Jan 15, 2020
Last updated
Jan 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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 MA68216 FL Primary

Addresses

Primary practice location

917 N Pennsylvania Ave
Winter Park, FL 32789-2456

Mailing address

917 N Pennsylvania Ave
Winter Park, FL 32789-2456
Phone (407) 616-7753

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nva@nvmassages.com

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
MA68216FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1629618954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 N PENNSYLVANIA AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892456",
            "telephone_number": "407-616-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 N PENNSYLVANIA AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892456",
            "telephone_number": "407-616-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA68216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nva@nvmassages.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "address_1": "917 N Pennsylvania Ave",
            "city": "Winter Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327892456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.