Active NPI
Ronnie C Nichols
- Massage Therapist
- Gainesville, FL
National Provider Identifier
1154532083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA40953
- Practice address
- 3600 NW 43Rd St
Suite E-3
Gainesville, FL 32606-8137 - Phone
- (352) 378-5400
- Fax
- (352) 378-6332
- NPI assigned
- May 24, 2007
- Sex
- Male
- 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 | MA40953 | FL | Primary |
Addresses
Primary practice location
3600 NW 43Rd St
Suite E-3
Gainesville, FL 32606-8137
Mailing address
3600 NW 43Rd St
Suite E-3
Gainesville, FL 32606-8137
Phone (352) 378-5400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C2667 | Other | FL | BCBS PROVIDER |
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 |
|---|---|---|---|
| MA40953 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bowers Massage Therapy Inc | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Massage Therapist
- Gainesville, FL
- NPI 1952511172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185321600000",
"number": "1154532083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 NW 43RD ST",
"address_2": "SUITE E-3",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326068137",
"telephone_number": "352-378-5400",
"fax_number": "352-378-6332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 NW 43RD ST",
"address_2": "SUITE E-3",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326068137",
"telephone_number": "352-378-5400",
"fax_number": "352-378-6332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "RONNIE",
"middle_name": "C",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA40953",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER",
"identifier": "C2667",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.