JESSICA DALLAS (NPI# 1407175235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407175235 |
| Entity Type | Individual |
| Full Name | JESSICA DALLAS |
| Credential | LMT |
| Practice Address |
208 Southpark Cir E St Augustine FL 32086-5135 |
| Practice Telephone | 9048238833 |
| Practice Fax Number | 9048239394 |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2010-05-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA36374 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437557485 | Jessica Dallas | Social Worker | 2978 Northwest Blvd, Upper Arlington, OH 43221-2902 | 2014-12-08 |
| Street Address |
208 SOUTHPARK CIR E |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32086-5135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346249455 | Jueyang Wei | Psychiatry & Neurology | 208 Southpark Cir E, St Augustine, FL 32086-5135 | 2005-07-20 |
| 1912213992 | Nancy Ann Vail | Contractor | 208 Southpark Cir E, St Augustine, FL 32086-5135 | 2010-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
| 1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
| 1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
| 1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
| 1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
| 1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
| 1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
| 1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
| Find all providers in zip 32086 | ||||
| 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 |
|---|---|---|---|---|
| 1952915464 | Kamlesh Minshew | Massage Therapist | 116 Onyx Ct, St Augustine, FL 32086-0362 | 2020-09-02 |
| 1346797495 | Go Madd 4 Massage | Massage Therapist | 2600 Us Highway 1 S Ste 7, St Augustine, FL 32086-6193 | 2016-09-07 |
| 1356719116 | Pro Massage | Massage Therapist | 621 Market St, St Augustine, FL 32095-8892 | 2015-09-10 |
| 1902273568 | Benjamin Lambert | Massage Therapist | 2250 Old Moultrie Rd, 43, St Augustine, FL 32086-5192 | 2015-08-28 |
| 1962881763 | Melba Faye Peludat | Massage Therapist | 2730 State Road 16, Suite 110, St Augustine, FL 32092-5400 | 2015-05-26 |
| 1801237722 | Eileen Lassiter | Massage Therapist | 51c Cordova St, St Augustine, FL 32084-3628 | 2013-07-08 |
| 1326388513 | Erin Marie Johnson | Massage Therapist | 129 Meadow Ave, St Augustine, FL 32084-2248 | 2013-02-25 |
| 1992054282 | Janelle Gay-levy | Massage Therapist | 205 Golden Oaks Ln, St Augustine, FL 32080-6111 | 2012-09-03 |
| 1164715264 | Christopher B Gardner | Massage Therapist | 115a Flagler Blvd, St Augustine, FL 32080-3795 | 2011-05-23 |
| 1578855326 | Danielle Fountain | Massage Therapist | 212 San Marco Ave Ste C, St Augustine, FL 32084-2771 | 2011-05-12 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32086 |
Please comment or provide details below to improve the information on JESSICA DALLAS.
| 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.