Individual provider Active NPI

Daphne Downard, LMT

  • Massage Therapist
  • Lynn Haven, FL
National Provider Identifier
1295101202
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA72351 Issued in FL
Practice address
3003 S Highway 77
Suite D
Lynn Haven, FL 32444-5622
Phone
(850) 896-5039
NPI assigned
Aug 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA72351 FL Primary

Addresses

Primary practice location

3003 S Highway 77
Suite D
Lynn Haven, FL 32444-5622

Mailing address

11630 N Bear Creek Rd
Panama City, FL 32404-4853
Phone (850) 896-5039

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

LicenseStateTypeSpecialty
MA72351FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1295101202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11630 N BEAR CREEK RD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324044853",
            "telephone_number": "850-896-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 S HIGHWAY 77",
            "address_2": "SUITE D",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324445622",
            "telephone_number": "850-896-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNARD",
        "first_name": "DAPHNE",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA72351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; 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.