Active NPI
Marie L Noonan, LMT
- Massage Therapist
- Atlantic Beach, FL
National Provider Identifier
1942436159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 46194
- Practice address
- 1525 Linkside Dr
Atlantic Beach, FL 32233-7306 - Phone
- (904) 563-0784
- NPI assigned
- Jun 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 46194 | FL | Primary |
Addresses
Primary practice location
1525 Linkside Dr
Atlantic Beach, FL 32233-7306
Mailing address
1525 Linkside Dr
Atlantic Beach, FL 32233-7306
Phone (904) 563-0784
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 46194 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243900800000",
"number": "1942436159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 LINKSIDE DR",
"city": "ATLANTIC BEACH",
"state": "FL",
"postal_code": "322337306",
"telephone_number": "904-563-0784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 LINKSIDE DR",
"city": "ATLANTIC BEACH",
"state": "FL",
"postal_code": "322337306",
"telephone_number": "904-563-0784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOONAN",
"first_name": "MARIE",
"middle_name": "L",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-02",
"last_updated": "2009-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA 46194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlantic Beach, FL
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- Naval Continuing Care Retirement Foundation, Inc. (Fleet Landing)
- Eman Y Newhart
- Taylor Nichols, BT
- Katharine Cassandra Nix, ARNP, FNP-BC
- North Florida Behavioral Consultants LLC
- Northeast Transportation Group LLC. (Coastal Cab)
- Shavonne Orr
- Marilyn E Panganiban, LD/N
- Ryan Parker
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.