Nicole Danielle De St. Aubin

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA47349 Issued in FL

Practice address

5741 Bee Ridge Rd Ste 350
Sarasota, FL 34233-5082

Phone

(941) 366-8810

Fax

(941) 366-8812

NPI assigned

Dec 18, 2018

Last updated

Dec 18, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1659843423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7804 41ST AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342119519",
            "telephone_number": "941-565-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5741 BEE RIDGE RD STE 350",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342335082",
            "telephone_number": "941-366-8810",
            "fax_number": "941-366-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE ST. AUBIN",
        "first_name": "NICOLE",
        "middle_name": "DANIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-18",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA47349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond E De la Rosa, M.D.
• Jizzel Anne Velasco De Leon, DNP
• Victor E. De Loach, M.D.
• Laura Cristina De Oliveira, PA-C
• Mario J De Pinto, MD
• William Edward Deacon, MA, L.M.H.C.
• Dean B. Scott, Ocularist (Dean B. Scott)
• Brenna Kathryn Dean
• Debra Laurie Dean, LCSW
• Reeta Dean

• Massage Therapist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.