SANDRA NICOLE FRYE (NPI# 1063026748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063026748 |
| Entity Type | Individual |
| Full Name | SANDRA NICOLE FRYE |
| Credential | LMT |
| Practice Address |
5894 Long Branch Rd Jacksonville FL 32234 |
| Practice Telephone | 9049450539 |
| Mailing Telephone | 9049450539 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60023 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5894 LONG BRANCH RD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467923946 | Shopjveon LLC | In Home Supportive Care | 15402 Hidden Foal Drive, Jacksonville, FL 32234 | 2018-12-10 |
| 1699107342 | Bradley Kent Cammack | Dentist | Moved 534 Keily Street, Bureau of Medicine &, Surgery Centralized Credential & Privileging, Jacksonville, FL 32234 | 2013-08-05 |
| 1033276878 | Adoracion Poblete Sotomayor | Family Medicine | 365 West Oliver Street, Baldwin, FL 32234-0608 | 2007-01-02 |
| 1033660121 | Tatiana Burrough | Specialist/Technologist | 291 Mill St W, Jacksonville, FL 32234-1307 | 2016-10-24 |
| 1851835565 | Mark Seymore | Licensed Practical Nurse | 860 Us Highway 90 E, Baldwin, FL 32234-1727 | 2016-12-14 |
| 1437761830 | Johanna I Gates | Homemaker | 15379 Spotted Stallion Trl, Jacksonville, FL 32234-2397 | 2020-08-18 |
| 1851851554 | Veronica H Bartley | Nurse Practitioner | 15319 Spotted Stallion Trl, Jacksonville, FL 32234-2397 | 2019-03-20 |
| 1942813233 | Authentic Healthcare, LLC | Homemaker | 15379 Spotted Stallion Trl, Jacksonville, FL 32234-2397 | 2020-08-26 |
| 1821304411 | Keriomi N Timpson-bey | Counselor | 15414 Spotted Stallion Trl, Jacksonville, FL 32234-2398 | 2010-08-20 |
| 1801438486 | Twyla D Carley | Nurse Practitioner | 15181 Bareback Dr, Jacksonville, FL 32234-2431 | 2019-10-15 |
| Find all providers in zip 32234 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142299 | Undra Williams | Massage Therapist | 5900 Townsend Rd Apt 813, Jacksonville, FL 32244-4579 | 2020-10-21 |
| 1356958771 | Jared Franklin | Massage Therapist | 1540 El Prado Rd Apt 1, Jacksonville, FL 32216-2965 | 2020-09-29 |
| 1043826613 | Eric Gene Thompson | Massage Therapist | 2386 Villanova Cir # Na, Jacksonville, FL 32218-5123 | 2020-09-19 |
| 1720693757 | Cathleen Ann Smith | Massage Therapist | 13051 Gran Bay Pkwy Unit 2321, Jacksonville, FL 32258-6520 | 2020-09-15 |
| 1720693286 | Paul Andrew Hudson | Massage Therapist | 13108 Harborton Dr, Jacksonville, FL 32224-7403 | 2020-09-11 |
| 1104437821 | Crystal Delgado Mccraw | Massage Therapist | 869 Stockton St Ste 8, Jacksonville, FL 32204-3590 | 2020-08-14 |
| 1538787866 | Tywanna Council | Massage Therapist | 4720 Salisbury Road #102, Jacksonville, FL 32256 | 2020-07-13 |
| 1659904514 | Kyoko Provencio | Massage Therapist | 136 Gregory Pl, Jacksonville, AR 72076-3212 | 2020-02-19 |
| 1750933529 | James Bradley Toon | Massage Therapist | 12443 San Jose Blvd Ste 801, Jacksonville, FL 32223-8654 | 2019-07-11 |
| 1669937090 | Benny Ball | Massage Therapist | 2 Independent Dr Ste 108, Jacksonville, FL 32202-5016 | 2019-02-11 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32234 |
Please comment or provide details below to improve the information on SANDRA NICOLE FRYE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.