Kyle Edwin Jersey, R.N.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60871 Issued in FL

Practice address

1128 NE 20TH Place
Gainesville, FL 32609

Phone

(352) 234-6677

NPI assigned

May 6, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kyle Edwin Jersey Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304640000000",
    "number": "1760774939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 NE 20TH PLACE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32609",
            "telephone_number": "352-234-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 NE 20TH PLACE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32609",
            "telephone_number": "352-234-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERSEY",
        "first_name": "KYLE",
        "middle_name": "EDWIN",
        "name_prefix": "Mr.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-06",
        "last_updated": "2011-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": "FL",
            "license": "RN9264326",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA60871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLE",
            "last_name": "JERSEY",
            "middle_name": "EDWIN",
            "credential": "L.M.T",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Timini Jernigan
• Roy Gregory Jerrell, D.D.S.
• Hayley Jerrels
• Karley Jerrels
• Michael Jerrett, MD
• Brittany Farren Jesek, RPH, PHARMD
• Grant Jester, M.D.
• Patricia Morris Jeter
• Diane R Jett
• Monica Marie Jette, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; 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.