Active NPI
Gondee Rowland, LMT
- Massage Therapist
- Ponte Vedra Beach, FL
National Provider Identifier
1710028477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA16269 MM13177
- Practice address
- 1100 Sawgrass Village Dr
Suite 201C
Ponte Vedra Beach, FL 32082-5048 - Phone
- (904) 686-4002
- Fax
- (904) 273-6402
- NPI assigned
- Feb 8, 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 | MA16269 MM13177 | FL | Primary |
Addresses
Primary practice location
1100 Sawgrass Village Dr
Suite 201C
Ponte Vedra Beach, FL 32082-5048
Mailing address
1100 Sawgrass Village Dr
Suite 201C
Ponte Vedra Beach, FL 32082-5048
Phone (904) 686-4002
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C1468 | Other | FL | BLUE CROSS BLUE SHIELD |
| FP2797 | Other | FL | HEALTH NET |
| 0007196354 | Other | FL | AETNA |
| 185919351390 | Other | FL | HUMANA |
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 |
|---|---|---|---|
| MA16269 MM13177 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710028477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 SAWGRASS VILLAGE DR",
"address_2": "SUITE 201C",
"city": "PONTE VEDRA BEACH",
"state": "FL",
"postal_code": "320825048",
"telephone_number": "904-686-4002",
"fax_number": "904-273-6402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 SAWGRASS VILLAGE DR",
"address_2": "SUITE 201C",
"city": "PONTE VEDRA BEACH",
"state": "FL",
"postal_code": "320825048",
"telephone_number": "904-686-4002",
"fax_number": "904-273-6402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROWLAND",
"first_name": "GONDEE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA16269 MM13177",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "C1468",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "FP2797",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0007196354",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "185919351390",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ponte Vedra Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.