Bayhaven

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

MM19938 Issued in FL

Legal business name

BAYHAVEN

Practice address

1201 4TH St S
St Petersburg, FL 33701-5223

Phone

(727) 822-8808

NPI assigned

Dec 12, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Donna Hall, LMT, NMTNPI 1417192899

Title

Owner/Therapist

Phone

(727) 822-8808

Specialties & licenses 2

Addresses

Other names 1

• Bayhaven Massage Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donna Hall, LMT, NMT

  • Specialist
  • St Petersburg, FL
  • NPI 1417192899
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229040000000",
    "number": "1710122189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35189",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337050504",
            "telephone_number": "727-822-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 4TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337015223",
            "telephone_number": "727-822-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYHAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-12",
        "last_updated": "2008-12-12",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "727-822-8808",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT, NMT"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "MA 44842",
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "FL",
            "license": "MM19938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayhaven Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bayfront Medical Center, Inc.
• Bayfront Neonatology Services
• Bayfront Physician Speciality
• Bayfront Physician Specialty Service
• Bayfront Same Day Surgery Center, LLC.
• Baylife Physical Therapy & Rehabilitation Inc
• Baylight Psychiatry, PLLC
• Jennifer Baylor, DC
• Bayou Shores SNF LLC
• Bayshore Health and Wellness, LLC

• Non-Pharmacy Dispensing Site in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Non-Pharmacy Dispensing Site in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.