Active NPI
Cody Yelton
- Massage Therapist
- Gainesville, FL
National Provider Identifier
1255620977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 62170
- Practice address
- 200 NE 1St St
Gainesville, FL 32601-5311 - Phone
- (352) 443-4217
- NPI assigned
- Apr 4, 2011
- 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 | MA 62170 | FL | Primary |
Addresses
Primary practice location
200 NE 1St St
Gainesville, FL 32601-5311
Mailing address
1421 NE 20TH Ave
Gainesville, FL 32609-3868
Phone (352) 443-4217
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA 62170 | Other | FL | FL DEPT OF HEALTH |
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 |
|---|---|---|---|
| MA 62170 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474329600000",
"number": "1255620977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1421 NE 20TH AVE",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326093868",
"telephone_number": "352-443-4217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 NE 1ST ST",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326015311",
"telephone_number": "352-443-4217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YELTON",
"first_name": "CODY",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-04",
"last_updated": "2016-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA 62170",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL DEPT OF HEALTH",
"identifier": "MA 62170",
"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 Sep 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.