Active NPI
Eileen Lassiter
- Massage Therapist
- St Augustine, FL
National Provider Identifier
1801237722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA62944
- Practice address
- 51C Cordova St
St Augustine, FL 32084-3628 - Phone
- (904) 829-0590
- NPI assigned
- Jul 8, 2013
- Sex
- Female
- Sole proprietor
- No
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 | MA62944 | FL | Primary |
Addresses
Primary practice location
51C Cordova St
St Augustine, FL 32084-3628
Mailing address
6831 Sandalwood LN
Naples, FL 34109-0511
Phone (904) 910-8811
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 |
|---|---|---|---|
| MA62944 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373241600000",
"number": "1801237722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6831 SANDALWOOD LN",
"city": "NAPLES",
"state": "FL",
"postal_code": "341090511",
"telephone_number": "904-910-8811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51C CORDOVA ST",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320843628",
"telephone_number": "904-829-0590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASSITER",
"first_name": "EILEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-08",
"last_updated": "2013-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA62944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.