Yolanda Gavigan, L.AC, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

030453 Issued in NY

Practice address

24 Bellemeade Ave Ste B
Smithtown, NY 11787-1855

Phone

(845) 827-3637

NPI assigned

Feb 20, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Yolanda'S Massage PLLC

  • Massage Therapist
  • Smithtown, NY
  • NPI 1144914680
  NPD Authorized official
• Yolanda'S Massage PLLC

  • Acupuncturist
  • Smithtown, NY
  • NPI 1447939905
  NPD Authorized official

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1821796822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 HASTINGS DR",
            "city": "FORT SALONGA",
            "state": "NY",
            "postal_code": "117682509",
            "telephone_number": "516-252-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 BELLEMEADE AVE STE B",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117871855",
            "telephone_number": "845-827-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVIGAN",
        "first_name": "YOLANDA",
        "credential": "L.AC, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "007368",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "030453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Garguilo
• Caroline Grace Garretson
• Joanne Garvar
• Nichole Marie Gassick, RN
• Gateway Counseling LCSW PLLC
• Marta Gebbia, M.S.
• Matthew Douglas Gee, LCSW PHD
• Thomas Gee, RPH
• Darlene A Gelin, LCSW-R
• Brian Stewart Geller, M.D.

• Massage Therapist in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.