Organization Active NPI

Devine' Wellness & Spa LLC

  • Massage Therapist
  • Dunedin, FL
National Provider Identifier
1679190268
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
DEVINE' WELLNESS & SPA LLC
Practice address
1369 Main St Ste 6
Dunedin, FL 34698-6246
Phone
(301) 898-6420
NPI assigned
Jun 29, 2020
Last updated
Jun 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Authorized official

Name
Devon Charlemagne, LMT
Title
Owner/ Licensed Massage Therapist
Phone
(301) 898-6420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

1369 Main St Ste 6
Dunedin, FL 34698-6246

Mailing address

1369 Main St Ste 6
Dunedin, FL 34698-6246
Phone (301) 898-6420

National Provider Directory

National Provider Directory

Locations

1369 Main St
Ste 6
Dunedin, FL 34698
Phone (301) 898-6420

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1679190268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1369 MAIN ST STE 6",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346986246",
            "telephone_number": "301-898-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1369 MAIN ST STE 6",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346986246",
            "telephone_number": "301-898-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVINE' WELLNESS & SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "CHARLEMAGNE",
        "authorized_official_first_name": "DEVON",
        "authorized_official_title_or_position": "OWNER/ LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "301-898-6420",
        "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": []
}

Other providers in Dunedin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.