Active NPI
Ella Mae Warren, LMT
- Massage Therapist
- Saint Petersburg, FL
National Provider Identifier
1740464445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 50263
- Practice address
- 8850 4TH St N
Saint Petersburg, FL 33702-3124 - Phone
- (727) 278-2717
- NPI assigned
- Dec 18, 2007
- 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 | 50263 | FL | Primary |
Addresses
Primary practice location
8850 4TH St N
Saint Petersburg, FL 33702-3124
Mailing address
3040 36TH Ave S
Saint Petersburg, FL 33712-3731
Phone (727) 278-2717
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
| License | State | Type | Specialty |
|---|---|---|---|
| 50263 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197936000000",
"number": "1740464445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3040 36TH AVE S",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337123731",
"telephone_number": "727-278-2717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8850 4TH ST N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337023124",
"telephone_number": "727-278-2717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "ELLA",
"middle_name": "MAE",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-18",
"last_updated": "2007-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "50263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.