Active NPI
Audrey D. Newman, LMT
- Massage Therapist
- Gainesville, FL
National Provider Identifier
1487989802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA57079
- Practice address
- 4909 NW 27TH CT
Suite 5B
Gainesville, FL 32606-6509 - Phone
- (352) 337-6008
- NPI assigned
- Oct 4, 2009
- 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 | MA57079 | FL | Primary |
Addresses
Primary practice location
4909 NW 27TH CT
Suite 5B
Gainesville, FL 32606-6509
Mailing address
PO Box 142622
Gainesville, FL 32614-2622
Phone (352) 505-9095
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 |
|---|---|---|---|
| MA57079 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254614400000",
"number": "1487989802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 142622",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326142622",
"telephone_number": "352-505-9095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4909 NW 27TH CT",
"address_2": "SUITE 5B",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326066509",
"telephone_number": "352-337-6008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWMAN",
"first_name": "AUDREY",
"middle_name": "D.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-04",
"last_updated": "2009-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA57079",
"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 Oct 4, 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.