Marita Guilderson, LMT

Primary specialty

ContractorTaxonomy code 171W00000X

License

MA11218 Issued in FL

Practice address

14253 NW 232ND St
High Springs, FL 32643-6855

Phone

(386) 454-3761

NPI assigned

Nov 29, 2011

Last updated

Nov 29, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1376810762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14253 NW 232ND ST",
            "city": "HIGH SPRINGS",
            "state": "FL",
            "postal_code": "326436855",
            "telephone_number": "386-454-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14253 NW 232ND ST",
            "city": "HIGH SPRINGS",
            "state": "FL",
            "postal_code": "326436855",
            "telephone_number": "386-454-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILDERSON",
        "first_name": "MARITA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-29",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "FL",
            "license": "MA11218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jo-Anne Gammon, ARNP
• Christine Glaser, LCSW
• Megan Ann Goldammer
• Daniel Goldberg, PHARMD
• Mary Jean Gossman, MPAS, PA-C
• Amanda L Hall, PHARMD
• Shawn a Hall
• Kellene A Harknett, L.M.T.
• Angeli E Harris, APRN
• Dottie A Hartman, LMT

• Contractor in High Springs, FL
• Providers in High Springs, FL by specialty
• Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.