DANIELLE FOUNTAIN (NPI# 1578855326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578855326 |
| Entity Type | Individual |
| Full Name | DANIELLE FOUNTAIN |
| Credential | LMT, NCTMB, MMP |
| Practice Address |
212 San Marco Ave Ste C St Augustine FL 32084-2771 |
| Mailing Address |
10 Dupont Ln St Augustine FL 32084-3208 |
| Practice Telephone | 9043471855 |
| Mailing Telephone | 9043471855 |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2011-10-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA48413 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
212 SAN MARCO AVE STE C |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32084-2771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347599 | Cody Martyn | Pharmacist | 955 Fl-16, St. Augustine, FL 32084 | 2020-08-18 |
| 1912562471 | Kjcares Suportive Living Services | Case Manager/Care Coordinator | 20 First Street, Apt 5, St. Augustine, FL 32084 | 2019-05-09 |
| 1558841684 | Kevin D Roberts | Psychologist | 20 First Street Apt 5, St. Augustine, FL 32084 | 2018-08-17 |
| 1568954576 | Gwendolyn Marie Spong | Nurse Practitioner | 2703 N Ponce De Leon Blvd., Minute Clinic #3591, Area 4, Region 46, St. Augustine, FL 32084 | 2018-06-05 |
| 1770940116 | Marian L. Turner-sharpton, Lcsw | Social Worker | 17 Pacific St., Suite 2 (growth Pointe), St. Augustine, FL 32084 | 2016-01-15 |
| 1710358932 | Florida Laboratory Analysis, LLC | Clinical Medical Laboratory | 1690 Us Highway 1 S Ste D, St Augustine, FL 32084 | 2015-10-14 |
| 1780064774 | J Mae Transportation | Non-emergency Medical Transport (VAN) | 28 N Whitney St Apt 404, St Augustine, FL 32084 | 2015-06-04 |
| 1497154520 | Suzanne Smith Weed | Nurse Practitioner | 32 Mulberry Street, Saint Augustine, FL 32084 | 2014-08-14 |
| 1447684469 | Rachel Moran | Counselor | 162 Oneida Street, St. Augustine, FL 32084 | 2013-08-27 |
| 1932545993 | Matrix Medical, LLC | Durable Medical Equipment & Medical Supplies | 56 S Dixie Hwy Ste 1, St Augustine, FL 32084 | 2013-05-17 |
| Find all providers in zip 32084 | ||||
| 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 |
| 1487891271 | April Renee Creter | Massage Therapist | 268 North Blvd, St Augustine, FL 32095-6029 | 2009-01-15 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32084 |
Please comment or provide details below to improve the information on DANIELLE FOUNTAIN.
| 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.