Madison Mulligan, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA95167 Issued in FL

Practice address

4200 NW 97TH Blvd
Gainesville, FL 32606-3742

Phone

(352) 672-2893

NPI assigned

May 25, 2021

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

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1184299885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 SW WILLISTON RD APT 802",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326083949",
            "telephone_number": "352-672-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 NW 97TH BLVD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326063742",
            "telephone_number": "352-672-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIGAN",
        "first_name": "MADISON",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA95167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Mullen, RN
• Janelle Sheridan Muller
• John E Muller, CRNA
• Ann Marie Mulligan
• Dana Heather Mulligan, LMT
• Amy R Mullikin, ARNP
• Kristyn Marie Mulqueen, PHARMD, BCPS
• Alexander Multak, M.D.
• Kathleen MC Guire Mulvehill, ARNP, FNP-BC
• Alan Mumford, PHARM. D

• Massage Therapist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.

Verify at the official NPI Registry.