RENEE HAIRE (NPI# 1568924512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568924512 |
| Entity Type | Individual |
| Full Name | RENEE HAIRE |
| Credential | LMT |
| Practice Address |
1325 San Marco Blvd Ste 102 Jacksonville FL 32207-8549 |
| Practice Telephone | 9048587045 |
| Practice Fax Number | 9048587047 |
| Mailing Telephone | 9048587045 |
| Mailing Fax Number | 9048587047 |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2019-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA82644 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1325 SAN MARCO BLVD STE 102 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-8549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154326536 | Joanna Leigh Starkey | Physical Therapist | 1325 San Marco Blvd Ste 102, Credentialing Department, Jacksonville, FL 32207-8549 | 2005-06-14 |
| 1083213482 | Alaina C Rizzotti-pannoni | Massage Therapist | 1325 San Marco Blvd Ste 102, Jacksonville, FL 32207-8549 | 2020-10-19 |
| 1568078624 | Melissa A Ross | Massage Therapist | 1325 San Marco Blvd Ste 102, Jacksonville, FL 32207-8549 | 2020-09-23 |
| 1811527989 | Nicole Amber Parriott | Specialist/Technologist | 1325 San Marco Blvd Ste 102, Jacksonville, FL 32207-8549 | 2020-01-17 |
| 1841757317 | Emily Elizabeth Coppedge Kolar | Physical Therapist | 1325 San Marco Blvd Ste 102, Jacksonville, FL 32207-8549 | 2019-02-20 |
| 1548787195 | Daniel A Brady | Physical Therapist | 1325 San Marco Blvd Ste 102, Jacksonville, FL 32207-8549 | 2017-08-24 |
| 1487178513 | Kerri Gilbert | Physical Therapist | 1325 San Marco Blvd Ste 102, Jacksonville, FL 32207-8549 | 2017-07-31 |
| 1497107858 | Dominic Worsowicz | Physical Therapist | 1325 San Marco Blvd Ste 102, Jacksonville, FL 32207-8549 | 2016-07-11 |
| 1376904599 | Chang Chau | Occupational Therapist | 1325 San Marco Blvd Ste 102, Jacksonville, FL 32207-8549 | 2016-03-16 |
| 1396139309 | Victoria King | Massage Therapist | 1325 San Marco Blvd Ste 102, Jacksonville, FL 32207-8549 | 2015-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| 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 | 32207 |
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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.