Active NPI
Jason Andrew Meredith, C.T.R.S.
- Recreation Therapist
- Gainesville, FL
National Provider Identifier
1255354858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 39162
- Practice address
- North Florida/South Georgia Malcom Randall Vamc
1601 S.W. Archer Road
Gainesville, FL 32608-1197 - Phone
- (352) 376-1611
- NPI assigned
- Jul 25, 2006
- 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 |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 39162 | AR | Primary |
Addresses
Primary practice location
North Florida/South Georgia Malcom Randall Vamc
1601 S.W. Archer Road
Gainesville, FL 32608-1197
Mailing address
North Florida/South Georgia Malcom Randall Vamc
1601 S.W. Archer Road
Gainesville, FL 32608-1197
Phone (352) 376-1611
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 |
|---|---|---|---|
| 39162 | AR | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550620800000",
"number": "1255354858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NORTH FLORIDA/SOUTH GEORGIA MALCOM RANDALL VAMC",
"address_2": "1601 S.W. ARCHER ROAD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326081197",
"telephone_number": "352-376-1611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NORTH FLORIDA/SOUTH GEORGIA MALCOM RANDALL VAMC",
"address_2": "1601 S.W. ARCHER ROAD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326081197",
"telephone_number": "352-376-1611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEREDITH",
"first_name": "JASON",
"middle_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "C.T.R.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2019-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "AR",
"license": "39162",
"primary": true
}
],
"identifiers": [],
"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 Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.