Active NPI
Lorren Kirstin Lane Williams, LMT
- Massage Therapist
- Gainesville, FL
National Provider Identifier
1710011960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA39342
- Practice address
- 3181 NW 13TH St
Gainesville, FL 32609-2186 - Phone
- (352) 214-0679
- Fax
- (352) 373-2444
- NPI assigned
- Mar 16, 2007
- 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 | MA39342 | FL | Primary |
Addresses
Primary practice location
3181 NW 13TH St
Gainesville, FL 32609-2186
Mailing address
3181 NW 13TH St
Gainesville, FL 32609-2186
Phone (352) 214-0679
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C2487 | Other | FL | BCBS PROVIDER # |
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 |
|---|---|---|---|
| MA39342 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gainesville Healthcare Services, LLC | Past | Accepting new patients | |
| Dr Warren K Carlyle DC PA | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Gainesville, FL
- NPI 1962776062
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- Chiropractor
- Gainesville, FL
- NPI 1801340062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185148800000",
"number": "1710011960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3181 NW 13TH ST",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326092186",
"telephone_number": "352-214-0679",
"fax_number": "352-373-2444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 NW 13TH ST",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326092186",
"telephone_number": "352-214-0679",
"fax_number": "352-373-2444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "LORREN",
"middle_name": "KIRSTIN LANE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA39342",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "C2487",
"state": "FL"
}
],
"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 Jul 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.