Active NPI
Kayla Marie Lebron
- Massage Therapist
- Crestview, FL
National Provider Identifier
1982472999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MM101126
- Practice address
- 928 N Ferdon Blvd
Crestview, FL 32536-1706 - Phone
- (850) 902-4241
- NPI assigned
- Dec 19, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | MM101126 | FL | Primary |
Addresses
Primary practice location
928 N Ferdon Blvd
Crestview, FL 32536-1706
Mailing address
3204 Skynight Dr
Crestview, FL 32539-5117
Phone (850) 902-4241
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 |
|---|---|---|---|
| MM101126 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702944000000",
"number": "1982472999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3204 SKYNIGHT DR",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325395117",
"telephone_number": "850-902-4241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "928 N FERDON BLVD",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325361706",
"telephone_number": "850-902-4241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBRON",
"first_name": "KAYLA",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-19",
"last_updated": "2023-12-19",
"certification_date": "2023-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MM101126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crestview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.