Juanita Lynn Cantrell

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

165 Wells Rd Ste 203
Orange Park, FL 32073-3036

Phone

(904) 269-3522

NPI assigned

May 10, 2022

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

Practice roles

Locations

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.

• D B Paths LLC

  • Counselor
  • Jacksonville, FL
  • NPI 1053100016
  NPD
• Family Matters of Florida LLC

  • Developmental Therapist
  • Orange Park, FL
  • NPI 1912469396
  NPD (past)

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1194461376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 WELLS RD STE 203",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320733036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 WELLS RD STE 203",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320733036",
            "telephone_number": "904-269-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTRELL",
        "first_name": "JUANITA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda Campbell, FNP
• Sophia Campos
• Caniff-Kennett Inc
• Christopher Cann, PT
• Kathryn Nannette Cannon
• Lucas Patrick Capobianco-Hogan I
• Cassie Leigh Capri
• Lewis Anthony Caputa, Jr., D.M.D.
• Victoria C. Carbajal
• Ryan Card, OTR/L

• Developmental Therapist in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; 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.