Active NPI
Laura Nugent, LMT
- Massage Therapist
- Miramar Beach, FL
National Provider Identifier
1801053392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA41764
- Practice address
- 326 Ellis Rd Unit 107
Miramar Beach, FL 32550-6855 - Phone
- (850) 543-8929
- NPI assigned
- May 21, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW11421 | FL | |
| Massage Therapist | 225700000X | MA41764 | FL | Primary |
Addresses
Primary practice location
326 Ellis Rd Unit 107
Miramar Beach, FL 32550-6855
Mailing address
326 Ellis Road
Unit 107
Miramar Beach, FL 32550
Phone (850) 543-8929
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 |
|---|---|---|---|
| SW11421 | FL | MD | Clinical Social Worker |
| MA41764 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549065600000",
"number": "1801053392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 ELLIS ROAD",
"address_2": "UNIT 107",
"city": "MIRAMAR BEACH",
"state": "FL",
"postal_code": "32550",
"telephone_number": "850-543-8929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 ELLIS RD UNIT 107",
"city": "MIRAMAR BEACH",
"state": "FL",
"postal_code": "325506855",
"telephone_number": "850-543-8929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUGENT",
"first_name": "LAURA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-21",
"last_updated": "2019-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW11421",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA41764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miramar Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.