Mercedes M Medina, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA64329 Issued in FL

Practice address

1415 NE 2ND Ave
Cape Coral, FL 33909-1208

Phone

(239) 240-3118

NPI assigned

Sep 13, 2011

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

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": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1770865099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 152521",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339152521",
            "telephone_number": "239-240-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 NE 2ND AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339091208",
            "telephone_number": "239-240-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "MERCEDES",
        "middle_name": "M",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-13",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA64329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amberlin Medina Spacca, DMD
• Elyana Medina
• Hannah Marie Medina, PA-C
• Lisandra Medina
• Luis Medina
• Yarmis Medina, OTR
• Yudexy Medina
• Caroline Elizabeth Meehan, RN
• Patrick Michael Meehan, RN
• Misty M Meek, APRN, FNP-BC

• Massage Therapist in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.