Active NPI
Lee Tasha Perez, LMT, DOM, AP
- Acupuncturist
- Bonita Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP3901
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| AP3901 | FL | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quiet Waters Wellness Center LLC | Current | 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.
-
- Massage Therapist
- Bonita Springs, FL
- NPI 1336656081
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.