Individual provider Active NPI

Lee Tasha Perez, LMT, DOM, AP

  • Acupuncturist
  • Bonita Springs, FL
National Provider Identifier
1801303540
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP3901 Issued in FL
Practice address
8840 Terrene CT Ste 101
Bonita Springs, FL 34135
Phone
(239) 246-6622
Fax
(239) 344-8732
NPI assigned
Jan 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP3901 FL Primary

Addresses

Primary practice location

8840 Terrene CT Ste 101
Bonita Springs, FL 34135

Mailing address

8840 Terrene CT Ste 101
Bonita Springs, FL 34135-9533
Phone (239) 246-6622

Other practice location 1

9200 Bonita Beach Rd SE Ste 213
Bonita Springs, FL 34135-4279
Phone (239) 246-6622

Other practice location 2

8840 Terrene Ct Ste 101
Bonita Springs, FL 34135-9533
Phone (239) 246-6622

Other practice location 3

801 Anchor Rode Dr # 304
Naples, FL 34103-2751
Phone (239) 434-9710

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

LicenseStateTypeSpecialty
AP3901FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Quiet Waters Wellness Center LLC CurrentSince Jul 24, 2022 Accepting new patients

Locations

9200 Bonita Beach Rd SE
Ste 213
Bonita Springs, FL 34135
Phone 2392216370 ext. 3

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": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1801303540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8840 TERRENE CT STE 101",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341359533",
            "telephone_number": "239-246-6622",
            "fax_number": "239-344-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8840 TERRENE CT STE 101",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "34135",
            "telephone_number": "239-246-6622",
            "fax_number": "239-344-8732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9200 Bonita Beach Rd SE Ste 213",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341354279",
            "country_code": "US",
            "telephone_number": "239-246-6622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8840 Terrene Ct Ste 101",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341359533",
            "country_code": "US",
            "telephone_number": "239-246-6622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Anchor Rode Dr # 304",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341032751",
            "country_code": "US",
            "telephone_number": "239-434-9710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "LEE TASHA",
        "credential": "LMT, DOM, AP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-03",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.