Active NPI
Sierra Marie Stull
- Massage Therapist
- Gainesville, FL
National Provider Identifier
1669249843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA103296
- Practice address
- 501 SW 75TH St Apt J4
Gainesville, FL 32607-1704 - Phone
- (386) 416-9949
- NPI assigned
- Dec 7, 2023
- 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 | MA103296 | FL | Primary |
Addresses
Primary practice location
501 SW 75TH St Apt J4
Gainesville, FL 32607-1704
Mailing address
501 SW 75TH St Apt J4
Gainesville, FL 32607-1704
Phone (386) 416-9949
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 |
|---|---|---|---|
| MA103296 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1669249843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 SW 75TH ST APT J4",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326071704",
"telephone_number": "386-416-9949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 SW 75TH ST APT J4",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326071704",
"telephone_number": "386-416-9949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STULL",
"first_name": "SIERRA",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-07",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA103296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
- Sydney Stuckey
- Student Health Care Center
- Student Health Pharmacy at the University of Florida (University of Florida Student Health Care Center Pharmacy)
- Olivia Donna Studstrup
- Yuriy Stukov, MD
- Adaya Cymone Sturkey, MD
- Martha Susanne Sturm, CRNA
- Candace Catheron Style, M.D.
- Li-Ming Su, M.D.
- Tay Su, MOT, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.