Indigo Spirit

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

INDIGO SPIRIT

Practice address

235 31St St N
Saint Petersburg, FL 33713-1000

Phone

(727) 643-3318

Fax

(727) 906-1050

NPI assigned

Jan 7, 2020

Organization subpart

No

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

Authorized official

Name

Heather Lee Graeme, LMTNPI 1407416589

Title

Owner

Phone

(727) 643-3318

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather Lee Graeme

  • Massage Therapist
  • Saint Petersburg, FL
  • NPI 1407416589

  Single Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578355200000",
    "number": "1669012712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 31ST ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337131000",
            "telephone_number": "727-643-3318",
            "fax_number": "727-906-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 31ST ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337131000",
            "telephone_number": "727-643-3318",
            "fax_number": "727-906-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIGO SPIRIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A",
        "authorized_official_last_name": "GRAEME",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-643-3318",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.