MS. JENNIFER BROOKE HAGLER I (NPI# 1912119116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912119116 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER BROOKE HAGLER I |
| Practice Address |
2086 Sw Main Blvd Lake City FL 32025-0005 |
| Mailing Address |
681 Sw Chapel Hill St Lake City FL 32025-6545 |
| Practice Telephone | 3867542821 |
| Practice Fax Number | 3867542822 |
| Mailing Telephone | 3869618505 |
| Enumeration Date | 2007-05-03 |
| 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 | MA38766 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2086 SW MAIN BLVD |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32025-0005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578615027 | Kevin R Jurecko | Dentist | 2086 Sw Main Blvd, Suite #113, Lake City, FL 32025-0005 | 2007-01-17 |
| 1598318990 | Kayli Rian Kvistad | Specialist/Technologist | 2086 Sw Main Blvd, Lake City, FL 32025-0005 | 2019-07-24 |
| 1235341439 | Sylvia Willis Douglas | Massage Therapist | 2086 Sw Main Blvd, Lake City, FL 32025-0005 | 2007-05-03 |
| 1538176490 | Francisco J Ravelo | Pathology | 2086 Sw Main Blvd, Suite 103, Lake City, FL 32025-0005 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801438353 | Jennifer Bennett | Pharmacist | 347 Sw Main Blvd Suite 102, Lake City, FL 32025 | 2019-10-16 |
| 1700352838 | Robert J Sansouci IIi IIi | Physical Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, Fl, 32025, Lake City, FL 32025 | 2018-10-16 |
| 1316442783 | Emily Bailey | Developmental Therapist | 2126 Sw Sisters Welcome Rd, Lake City, FL 32025 | 2018-03-28 |
| 1811446370 | Michelle Hart | Behavioral Analyst | 260 S. Marion Avenue, Bldg. A, Suite 135, Lake City, FL 32025 | 2016-09-26 |
| 1922467646 | Irene Aponte Moreno | Nurse Practitioner | 440 Sw Perimeter Glen, Lake City, FL 32025 | 2016-02-23 |
| 1093186777 | Decarlos Scippio | Counselor | 619 Sw Baya Drive Suite 102, Lake City, FL 32025 | 2015-10-07 |
| 1497132476 | Jamecia Legree | Registered Nurse | 800 Sw Symphony Loop, Bldg 15 Apt 204, Lake City, FL 32025 | 2015-04-29 |
| 1306249149 | Mercy Home Assisted Living Facility LLC | Assisted Living Facility | 184 S.e. Beech Street, Lake City, FL 32025 | 2014-10-08 |
| 1598174344 | Karen Mcdonald | Developmental Therapist | 4523 Se County Road 252, Lake City, FL 32025 | 2014-08-06 |
| 1275944126 | Mohammad Ali Faisal Mdpa | Specialist | 1283 Sw State Rd 47, Ste 104, Lake City, FL 32025 | 2014-05-14 |
| Find all providers in zip 32025 | ||||
| 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 |
|---|---|---|---|---|
| 1376082743 | Barbara Garcia | Massage Therapist | 155 Se Cypress Hollow Gln, Lake City, FL 32025-2336 | 2017-02-18 |
| 1316482300 | Suzanne Smith | Massage Therapist | 102 B S. Main St, Lake City, MI 49651 | 2016-12-29 |
| 1184094450 | Susan Anne Spiker | Massage Therapist | 955 Sw Baya Dr, Lake City, FL 32025-4210 | 2015-09-30 |
| 1831570167 | Carolyn Michelle Heimbuch | Massage Therapist | 211 S Carolyn Dr, Lake City, MI 49651-8501 | 2015-06-11 |
| 1205231537 | Jennifer Percell | Massage Therapist | 1009 Sw Main Blvd, Suite 110, Lake City, FL 32025-5781 | 2014-10-29 |
| 1417254210 | Rachel Danette Lewis | Massage Therapist | 322 S Marion Ave, Lake City, FL 32025-7064 | 2011-02-15 |
| 1295045938 | Ibw Group, LLC | Massage Therapist | 272 Sw Alachua Ave, Lake City, FL 32025 | 2010-10-15 |
| 1487967824 | Amanda Lyn Collins | Massage Therapist | 1219 Sw Main Blvd, Lake City, FL 32025-6685 | 2010-07-14 |
| 1023346368 | Angel C Bowen | Massage Therapist | 275 N Marion Ave, Lake City, FL 32055-2864 | 2009-11-25 |
| 1831424167 | Cynthia Austin Mobley | Massage Therapist | 122 Sw Sweetbay Ct, Lake City, FL 32024-0738 | 2009-10-05 |
| Find all providers in LAKE CITY | ||||
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| 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.