Ladia Shaqwunta Paulk

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

74105 Issued in FL

Practice address

412 Longfellow Blvd Ste 2
Lakeland, FL 33801-2404

Phone

(863) 272-0906

NPI assigned

Jul 20, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Caremate Solution LLC

  • Homemaker
  • Winter Haven, FL
  • NPI 1841917952
  NPD Authorized official

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1841713831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 W PIERCE ST",
            "city": "LAKE ALFRED",
            "state": "FL",
            "postal_code": "338502625",
            "telephone_number": "863-272-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 LONGFELLOW BLVD STE 2",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338012404",
            "telephone_number": "863-272-0906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Bates Ave SW Unit 111",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338802926",
            "country_code": "US",
            "telephone_number": "863-272-0906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAULK",
        "first_name": "LADIA",
        "middle_name": "SHAQWUNTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "74105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stuart Drew Patterson, M.D.
• Paul M Romine PA North Lakeland Chiropractic (Acute Spine & Joint Care)
• John Paul, D.M.D.
• Sharon Paul, LMHC, NCC
• Sujeirys Paulino, MD
• Patricia Pavia Gonzalez
• Debra Jean Pavlovic, DC
• Eve Gibson Paxton, DO
• Ashley Nicole Payne, APRN, CNM, C-EFM
• David Payne, PA

• Massage Therapist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.