Cathleen Ann Smith

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA47380 Issued in FL

Practice address

13051 Gran Bay Pkwy Unit 2321
Jacksonville, FL 32258-6520

Phone

(650) 490-0371

NPI assigned

Sep 15, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1720693757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13051 GRAN BAY PKWY UNIT 2321",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322586520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13051 GRAN BAY PKWY UNIT 2321",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322586520",
            "telephone_number": "650-490-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CATHLEEN",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA47380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Cherie Smith, FNP-C
• Bryan D Smith, BSW
• Carey Kennedy Smith, RRT
• Carrie A Smith, CNM
• Catherine L. Smith, MD
• Celestine Demetrich Smith, ARNP
• Cheyenne Elizabeth Smith
• Chikita Domonique Smith, APRN
• Christene Oksana Nicole Smith
• Christopher Lee Smith, DO

• Massage Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.