BRENDA K KNOWLES (NPI# 1134215213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134215213 |
| Entity Type | Individual |
| Full Name | BRENDA K KNOWLES |
| Credential | LMT |
| Practice Address |
4570 San Juan Ave Suite 2 Jacksonville FL 32210-2051 |
| Practice Telephone | 9043888844 |
| Practice Fax Number | 9043891170 |
| Mailing Telephone | 9043888844 |
| Mailing Fax Number | 9043891170 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA25096 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBSFL | C2645 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689029837 | Brenda M Knowles | Nurse Practitioner | 979 E 3rd St, Chattanooga, TN 37403-2136 | 2016-04-25 |
| Street Address |
4570 SAN JUAN AVE SUITE 2 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32210-2051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831333186 | Wayne B. Houston, M.d., P.a. | Internal Medicine | 4570 San Juan Ave, Suite 2, Jacksonville, FL 32210-2051 | 2009-04-29 |
| 1730275843 | Apex Physical Therapy Inc | Clinic/Center | 4570 San Juan Ave, Suite 3, Jacksonville, FL 32210-2051 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326604729 | Finding Balance Counseling, LLC | Counselor | 4705 Palmer Ave, Jacksonville, FL 32210 | 2019-05-13 |
| 1609349620 | Jennifer Lash | Counselor | 4705 Palmer Avenue, Jacksonville, FL 32210 | 2019-01-03 |
| 1588147854 | Alan Craig Ashkinazy | Chiropractor | 5233 Ricker Rd Ste 102, Jacksonville, FL 32210 | 2018-09-12 |
| 1841781671 | Amanda Rodriguez-medina | Chiropractor | 6640 103rd St, Jacksonville, FL 32210 | 2018-05-29 |
| 1518457357 | Vicki Teal | Nurse Practitioner | 6488 103rd Street, Suite A, Jacksonville, FL 32210 | 2018-05-17 |
| 1811412539 | River City Companionship LLC | Clinic/Center | 7857 Delaroche Drive, Jacksonville, FL 32210 | 2017-08-03 |
| 1306366216 | Always Straight From The Heart | Homemaker | 6511 Betsy Court, Jacksonville, FL 32210 | 2017-06-21 |
| 1720538556 | Total Renal Care Inc | Clinic/Center | 5276 Blanding Blvd Ste 26, Jacksonville, FL 32210 | 2016-10-05 |
| 1700333978 | Recovery Counseling and More Inc | Clinic/Center | 4570 Saint Johns Ave, Ste B, Jacksonville, FL 32210 | 2016-09-06 |
| 1831645662 | Drucilla Young | Nurse's Aide | 1700 Blanding Blvd. 68n, Jacksonville, FL 32210 | 2016-08-31 |
| Find all providers in zip 32210 | ||||
| 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 |
| 1063026748 | Sandra Nicole Frye | Massage Therapist | 5894 Long Branch Rd, Jacksonville, FL 32234 | 2020-09-01 |
| 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 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32210 |
Please comment or provide details below to improve the information on BRENDA K KNOWLES.
| 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.