Active NPI
Brianna Lynn Hester, MT
- Massage Therapist
- Fleming Island, FL
National Provider Identifier
1619725694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA102453
- Practice address
- 4465 US Highway 17
Fleming Island, FL 32003-4800 - Phone
- (904) 582-9821
- NPI assigned
- May 7, 2024
- Last updated
- Jan 3, 2025
- 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 | MA102453 | FL | Primary |
Addresses
Primary practice location
4465 US Highway 17
Fleming Island, FL 32003-4800
Mailing address
5236 Cord Ave
Jacksonville, FL 32209-3172
Phone (904) 582-9821
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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA102453 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735862400000",
"number": "1619725694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5236 CORD AVE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322093172",
"telephone_number": "904-582-9821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4465 US HIGHWAY 17",
"city": "FLEMING ISLAND",
"state": "FL",
"postal_code": "320034800",
"telephone_number": "904-582-9821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HESTER",
"first_name": "BRIANNA",
"middle_name": "LYNN",
"credential": "MT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-07",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA102453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fleming Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.