Active NPI
Kathleen Monica Williams, LMT
- Massage Therapist
- Dunedin, FL
National Provider Identifier
1285671586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 5200
- Practice address
- 1968 Bayshore Blvd
Dunedin, FL 34698-2500 - Phone
- (727) 738-9333
- Fax
- (727) 736-6611
- NPI assigned
- Jun 2, 2006
- 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 | 5200 | FL | Primary |
Addresses
Primary practice location
1968 Bayshore Blvd
Dunedin, FL 34698-2500
Mailing address
1084 Jackmar Rd
Dunedin, FL 34698-3501
Phone (727) 512-0161
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 |
|---|---|---|---|
| 5200 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249862400000",
"number": "1285671586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1084 JACKMAR RD",
"city": "DUNEDIN",
"state": "FL",
"postal_code": "346983501",
"telephone_number": "727-512-0161",
"fax_number": "727-736-6611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1968 BAYSHORE BLVD",
"city": "DUNEDIN",
"state": "FL",
"postal_code": "346982500",
"telephone_number": "727-738-9333",
"fax_number": "727-736-6611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KATHLEEN",
"middle_name": "MONICA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2009-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "5200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dunedin, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.