Active NPI
Dana Heather Mulligan, LMT
- Massage Therapist
- Gainesville, FL
National Provider Identifier
1790914471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 50692
- Practice address
- 7733 W Newberry Rd
Suite B1
Gainesville, FL 32606-9245 - Phone
- (352) 332-5005
- NPI assigned
- Jul 2, 2009
- 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 | MA 50692 | FL | Primary |
Addresses
Primary practice location
7733 W Newberry Rd
Suite B1
Gainesville, FL 32606-9245
Mailing address
4720 NW 39TH St
Gainesville, FL 32606-4451
Phone (352) 871-2892
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 |
|---|---|---|---|
| MA 50692 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246492800000",
"number": "1790914471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4720 NW 39TH ST",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326064451",
"telephone_number": "352-871-2892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7733 W NEWBERRY RD",
"address_2": "SUITE B1",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326069245",
"telephone_number": "352-332-5005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLIGAN",
"first_name": "DANA",
"middle_name": "HEATHER",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-02",
"last_updated": "2009-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA 50692",
"primary": true
}
],
"identifiers": [],
"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 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.