Crystal Amanda Shoemaker, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA90514 Issued in FL

Practice address

601 Grand Panama Blvd
Panama City Beach, FL 32407-3456

Phone

(850) 276-3719

NPI assigned

Sep 28, 2023

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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.

• Tranquility by the Sea

  • Massage Therapist
  • Panama City Beach, FL
  • NPI 1013616960
  NPD
• Tranquility by the Sea

  • Massage Therapist
  • Panama City Beach, FL
  • NPI 1336928233
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1801676754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7321 WIREGRASS BLVD",
            "city": "SOUTHPORT",
            "state": "FL",
            "postal_code": "324091250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 GRAND PANAMA BLVD",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324073456",
            "telephone_number": "850-276-3719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOEMAKER",
        "first_name": "CRYSTAL",
        "middle_name": "AMANDA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA90514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian J Shaheen, MD
• Kayla Shepard
• Jon P Sherman, D.C.
• Eric Daniel Shide
• William F Shipman III, P A
• Desiree M Short, APRN, FNP-C
• Nora Shuff, DPT
• Tracy Similuk, PT
• Tymetra N Simmons
• Brandon Simon

• Massage Therapist in Panama City Beach, FL
• Providers in Panama City Beach, 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 28, 2023; 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.