Nicole Michelle Cavanaugh, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA102951 Issued in FL

Practice address

1835 Eastwest Pkwy Ste 3
Orange Park, FL 32003-5310

Phone

(904) 264-3770

NPI assigned

Apr 9, 2024

Last updated

Apr 9, 2024By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fleming Island Family Chiropractic

  • Chiropractor
  • Orange Park, FL
  • NPI 1154466217
  NPD

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1982457032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 BRIDGEWATER CT",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320038615",
            "telephone_number": "904-226-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 EASTWEST PKWY STE 3",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320035310",
            "telephone_number": "904-264-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANAUGH",
        "first_name": "NICOLE",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA102951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Davis Cassidy, MS, LMHC
• Andrea Castano
• Fanny Joccelyn Castano
• Alberto Castiel, MD
• Joel Albert Catz, PT
• Nedzad Cavka, PT
• Kathryn Cecere, DPM
• Centerwell Health Services (Certified), Inc. (Centerwell Home Health)
• Certified Medical Systems I, Inc
• Minor Chamblin, PH.D

• Massage Therapist in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.