Individual provider Active NPI

Shawna Elizabeth Kent, LMT

  • Massage Therapist
  • Orlando, FL
National Provider Identifier
1700026424
Registry record updated Feb 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA23785 Issued in FL
Practice address
12301 Lake Underhill Rd
Suite 118
Orlando, FL 32828-4508
Phone
(407) 218-4660
Fax
(407) 218-4661
NPI assigned
Feb 21, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2009

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 MA23785 FL Primary

Addresses

Primary practice location

12301 Lake Underhill Rd
Suite 118
Orlando, FL 32828-4508

Mailing address

141 Jergo Rd
Winter Park, FL 32792-6086
Phone (407) 927-9323

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
MA23785FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1235174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235174400000",
    "number": "1700026424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 JERGO RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327926086",
            "telephone_number": "407-927-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 LAKE UNDERHILL RD",
            "address_2": "SUITE 118",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284508",
            "telephone_number": "407-218-4660",
            "fax_number": "407-218-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENT",
        "first_name": "SHAWNA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-21",
        "last_updated": "2009-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA23785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2009; 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.