SAMANTHA JO FAGNANT (NPI# 1396179578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396179578 |
| Entity Type | Individual |
| Full Name | SAMANTHA JO FAGNANT |
| Credential | LMT |
| Practice Address |
1312 Illinois Ave Suite E Saint Cloud FL 34769-4506 |
| Practice Telephone | 4074362122 |
| Mailing Telephone | 4074362122 |
| Enumeration Date | 2013-08-24 |
| Last Update Date | 2014-07-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA63945 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1312 ILLINOIS AVE SUITE E |
| City | SAINT CLOUD |
| State | FL |
| Zip Code | 34769-4506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760898506 | Footprints On The Moon Massage and Bodywork, LLC | Massage Therapist | 1312 Illinois Ave, Suite E, Saint Cloud, FL 34769-4506 | 2014-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053877506 | Premier Med Pa | Clinic/Center | 2906 17th St., St Cloud, FL 34769 | 2019-02-20 |
| 1760975387 | Mayra Rosado | Psychologist | Carrousel Therapy Center, 3201 Budinger Ave., Saint Cloud, FL 34769 | 2018-06-08 |
| 1598282113 | Salud Urgent Care LLC | Clinic/Center | 3107 13th Street, Saint Cloud, FL 34769 | 2017-08-24 |
| 1710332671 | American Healthcare Community Behavioral Services LLC | Social Worker | 1203 Florida Ave., St. Cloud, FL 34769 | 2016-04-28 |
| 1215395785 | Elite Garden | Assisted Living Facility | 4319 Neptune Road, St Cloud, FL 34769 | 2016-01-29 |
| 1336506732 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 4660 13th Street, St. Cloud, FL 34769 | 2016-01-15 |
| 1306202064 | Megan Rose Mcclave | Registered Nurse | 524 13th Street, St. Cloud, FL 34769 | 2016-01-12 |
| 1821473133 | Angela Creager | Counselor | 446 Hamilton Park Circle, St. Cloud, FL 34769 | 2015-07-28 |
| 1730574906 | Jordico LLC | Assisted Living Facility | 4417 13th Street, Suite 142, Saint Cloud, FL 34769 | 2015-04-03 |
| 1255731667 | Judimar Rodriguez | Behavioral Analyst | 1605 Eastern Ave, Saint Cloud, FL 34769 | 2014-09-04 |
| Find all providers in zip 34769 | ||||
| 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 |
|---|---|---|---|---|
| 1760098610 | Jasmine Hepburn | Massage Therapist | 1521 Pine Marsh Loop, Saint Cloud, FL 34771-7407 | 2020-09-16 |
| 1164030912 | Yolonda Pleshette Lewandowski | Massage Therapist | 3333 W Division St Ste 122a, Saint Cloud, MN 56301-4549 | 2020-07-17 |
| 1548718455 | Jessica Willoughby | Massage Therapist | 4350 Story Rd, Saint Cloud, FL 34772-9098 | 2016-09-20 |
| 1639412158 | Michelle Denise Schneider | Massage Therapist | 1006 9th St S, Saint Cloud, MN 56301-5214 | 2013-04-03 |
| 1528311099 | Francesca Urbano | Massage Therapist | 3318 Cypress Point Cir, Saint Cloud, FL 34772-8882 | 2012-10-22 |
| 1780953067 | Rachel Brehmer | Massage Therapist | 13 21st Ave S, Saint Cloud, MN 56301-3951 | 2011-12-15 |
| 1336421031 | Christine Nordquist | Massage Therapist | 606 25th Ave S Ste 107, Saint Cloud, MN 56301-4810 | 2011-09-19 |
| 1750690079 | Brenda Davenport | Massage Therapist | 3244 Lorimar Ln, Saint Cloud, FL 34772-6503 | 2010-10-04 |
| 1407187206 | Megan Alexandra Hartman | Massage Therapist | 203 Cooper Ave N Ste 160, Saint Cloud, MN 56303-4446 | 2010-01-19 |
| 1366606048 | Tammy Jo Miller | Massage Therapist | 5015 Disston Dr, Saint Cloud, FL 34771-9618 | 2008-07-11 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 34769 |
Please comment or provide details below to improve the information on SAMANTHA JO FAGNANT.
| 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.