Ivadel Rae Hinkle, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA43981 Issued in FL

Practice address

1292 Lori Dr
Spring Hill, FL 34606-4561

Phone

(352) 686-4998

NPI assigned

Oct 5, 2007

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

Other names 1

• Miss Ivadel Rae Bowerman Professional name

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": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1669660551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5029 KIRKLAND AVE",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346061736",
            "telephone_number": "352-238-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1292 LORI DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346064561",
            "telephone_number": "352-686-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINKLE",
        "first_name": "IVADEL",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA43981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IVADEL",
            "last_name": "BOWERMAN",
            "middle_name": "RAE",
            "prefix": "MISS",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shalik K Hill
• Nicholas Hiller
• Boakai E Hilton Jr.
• Roc-Roza Hilton, RN
• Heather Hines
• Nay Gebran Hoche Harris, MD
• Terra C Hodges
• Stacey Hoffman, APRN, FNP-C
• Natalie Hofmeister, MS, RDN, LD/N
• Holiday CVS LLC

• Massage Therapist in Spring Hill, FL
• Providers in Spring Hill, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.