Active NPI
Sharon Callahan
- Massage Therapist
- Gainesville, FL
National Provider Identifier
1467726489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 3588
- Practice address
- 2630 NW 41St St
Gainesville, FL 32606-7495 - Phone
- (352) 373-4236
- Fax
- (352) 372-0016
- NPI assigned
- Mar 8, 2012
- 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 | 3588 | FL | Primary |
Addresses
Primary practice location
2630 NW 41St St
Gainesville, FL 32606-7495
Mailing address
4137 NW 36TH St
Gainesville, FL 32605-1444
Phone (352) 378-0875
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 |
|---|---|---|---|
| 3588 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331164800000",
"number": "1467726489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4137 NW 36TH ST",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326051444",
"telephone_number": "352-378-0875",
"fax_number": "352-372-0016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2630 NW 41ST ST",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326067495",
"telephone_number": "352-373-4236",
"fax_number": "352-372-0016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAHAN",
"first_name": "SHARON",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-08",
"last_updated": "2012-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "3588",
"primary": true
}
],
"identifiers": [],
"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 Mar 8, 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.