Stephanie Lynn Kraemer, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA31190 Issued in FL

Practice address

635 S Wickham Rd
Suite 203
West Melbourne, FL 32904-1436

Phone

(321) 723-1011

Fax

(321) 723-1110

NPI assigned

Apr 22, 2011

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

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.

• Coley Chiropractic PA

  • Chiropractor
  • W Melbourne, FL
  • NPI 1760668388
  NPD (past)

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303430400000",
    "number": "1962793158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 S WICKHAM RD",
            "address_2": "SUITE 203",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329041436",
            "telephone_number": "321-723-1011",
            "fax_number": "321-723-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 S WICKHAM RD",
            "address_2": "SUITE 203",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329041436",
            "telephone_number": "321-723-1011",
            "fax_number": "321-723-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAEMER",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-22",
        "last_updated": "2011-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA31190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farrah Kaviratna, RD, LD
• Alexandria Keister
• Robert Kennedy, MD
• Kent-Tronics Corp
• Michael Kozenieski Jr.
• Rajasri P Krishnamurthy, M.D.
• Sydney Kroeckcaddy, MS
• Aravind K Kumar, MD
• Joseph E Kundrot
• Jessica Marie Lafontaine

• Massage Therapist in West Melbourne, FL
• Providers in West Melbourne, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; 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.