Active NPI
Shena Lee Meysembourg Welland, LMT, NMT
- Massage Therapist
- Tampa, FL
National Provider Identifier
1861159725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA66887
- Practice address
- 6526 Seafairer Dr
Tampa, FL 33615-2523 - Phone
- (813) 470-8418
- NPI assigned
- Nov 26, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA66887 | FL | Primary |
Addresses
Primary practice location
6526 Seafairer Dr
Tampa, FL 33615-2523
Mailing address
6526 Seafairer Dr
Tampa, FL 33615-2523
Phone (813) 470-8418
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA66887 | Other | FL | HEALTH INSURANCE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Shenaw20@aol.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| MA66887 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637884800000",
"number": "1861159725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6526 SEAFAIRER DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336152523",
"telephone_number": "813-470-8418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6526 SEAFAIRER DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336152523",
"telephone_number": "813-470-8418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLAND",
"first_name": "SHENA",
"middle_name": "LEE MEYSEMBOURG",
"name_prefix": "Mrs.",
"credential": "LMT, NMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-26",
"last_updated": "2021-11-26",
"certification_date": "2021-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA66887",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH INSURANCE",
"identifier": "MA66887",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Shenaw20@aol.com",
"affiliation": "N",
"endpointDescription": "Business email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6526 Seafairer Dr",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336152523",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Tampa, FL
- Weldone Pharmacy LLC
- Paula Anne Welenc, MSW
- Sue Welfley, LMT
- David Welker
- Well-Being Community Center, Corp.
- Jeremy Nathan Wellauer, PT
- Renee Wellberg, RD
- Wellcare Health Insurance Company of America
- Wellcare Health Insurance Company of Louisiana, Inc
- Wellcare Health Insurance Company of New Hampshire Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.