Active NPI
Kristin Evans, MT
- Massage Therapist
- Minneola, FL
National Provider Identifier
1730465436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60330
- Practice address
- 552 S Highway 27
Ste B
Minneola, FL 34715-2705 - Phone
- (352) 577-0600
- NPI assigned
- Oct 25, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60330 | FL | Primary |
Addresses
Primary practice location
552 S Highway 27
Ste B
Minneola, FL 34715-2705
Mailing address
552 S Highway 27
Ste B
Minneola, FL 34715-2705
Phone (352) 577-0600
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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA60330 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clermont Massage LLC | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375056000000",
"number": "1730465436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "552 S HIGHWAY 27",
"address_2": "STE B",
"city": "MINNEOLA",
"state": "FL",
"postal_code": "347152705",
"telephone_number": "352-577-0600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "552 S HIGHWAY 27",
"address_2": "STE B",
"city": "MINNEOLA",
"state": "FL",
"postal_code": "347152705",
"telephone_number": "352-577-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "KRISTIN",
"credential": "MT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-25",
"last_updated": "2013-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA60330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.