Individual provider Active NPI

Joanna Leigh Sheward, LMT/NMT

  • Massage Therapist
  • Jacksonville, FL
National Provider Identifier
1326319401
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA58361 Issued in FL
Practice address
1819 Hendricks Ave
Ste. 2 & 3
Jacksonville, FL 32207-3303
Phone
(904) 348-5511
Fax
(904) 348-6601
NPI assigned
Jan 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

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 MA58361 FL Primary

Addresses

Primary practice location

1819 Hendricks Ave
Ste. 2 & 3
Jacksonville, FL 32207-3303

Mailing address

1819 Hendricks Ave
Ste. 2 & 3
Jacksonville, FL 32207-3303
Phone (904) 348-5511

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
MA58361FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327017600000",
    "number": "1326319401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 HENDRICKS AVE",
            "address_2": "STE. 2 & 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322073303",
            "telephone_number": "904-348-5511",
            "fax_number": "904-348-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 HENDRICKS AVE",
            "address_2": "STE. 2 & 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322073303",
            "telephone_number": "904-348-5511",
            "fax_number": "904-348-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEWARD",
        "first_name": "JOANNA",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "LMT/NMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-20",
        "last_updated": "2012-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA58361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.