Active NPI
Julieann N Massa
- Athletic Trainer
- Gulf Breeze, FL
National Provider Identifier
1558035790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL6073
- Practice address
- 1963 Crosscreek Cir
Gulf Breeze, FL 32563-7632 - Phone
- (919) 523-9331
- NPI assigned
- Aug 2, 2021
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AL6073 | FL | Primary |
Addresses
Primary practice location
1963 Crosscreek Cir
Gulf Breeze, FL 32563-7632
Mailing address
1963 Crosscreek Cir
Gulf Breeze, FL 32563-7632
Phone (919) 523-9331
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 |
|---|---|---|---|
| AL6073 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627862400000",
"number": "1558035790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1963 CROSSCREEK CIR",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325637632",
"telephone_number": "919-523-9331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1963 CROSSCREEK CIR",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325637632",
"telephone_number": "919-523-9331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSA",
"first_name": "JULIEANN",
"middle_name": "N",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-02",
"last_updated": "2021-08-02",
"certification_date": "2021-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL6073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gulf Breeze, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.