Mission Yoga, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

MISSION YOGA, LLC

Practice address

3400 NE 12TH Ave
Oakland Park, FL 33334-4523

Phone

(954) 744-2980

NPI assigned

May 2, 2022

Organization subpart

No

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

Authorized official

Name

Shay Palmer, E-RYT 500

Title

Owner

Phone

(954) 744-2980

Specialties & licenses 1

Addresses

Other names 1

• Mission Yoga Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1861137085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 NE 12TH AVE",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333344523",
            "telephone_number": "954-744-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 NE 12TH AVE",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333344523",
            "telephone_number": "954-744-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION YOGA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "SHAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-744-2980",
        "authorized_official_credential": "E-RYT 500"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@missionyogafl.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3400 NE 12th Ave",
            "city": "Oakland Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333344523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mission Yoga",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shawna Mills
• James R Milne, DO
• Arya Minaie, MD
• Miracle Medical Corp
• Tasneem Mirza, M.D.
• Denise A Mitchell
• Tangela Mobley
• Modern Anesthesia Company LLC
• Modern Recovery & Wellness, LLC
• Joelle M Moliere, RPH, MPH, FAARM

• Health Service Clinic/Center in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.