MAVIS BAKER (NPI# 1649667148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649667148 |
| Entity Type | Individual |
| Full Name | MAVIS BAKER |
| Practice Address |
11740-2 San Jose Blvd Jacksonville FL 32223-1629 |
| Mailing Address |
12074 Coachman Meadows Dr Jacksonville FL 32246-0559 |
| Practice Telephone | 9048805755 |
| Mailing Telephone | 9045531103 |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2015-04-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA#69139 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
11740-2 SAN JOSE BLVD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32223-1629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972533222 | Tri Dimension Spinal Reha Inc | Chiropractor | 11740-2 San Jose Blvd, Suite 29, Jacksonville, FL 32223-1629 | 2006-07-03 |
| 1164819595 | Tri-dimension Spinal Rehab. | Chiropractor | 11740-2 San Jose Blvd, Jacksonville, FL 32223-1629 | 2015-04-23 |
| 1164792289 | Marydee Lynn Vaile | Chiropractor | 11740-2 San Jose Blvd, Jacksonville, FL 32223-1629 | 2012-01-05 |
| 1295766814 | Amy Eve Bernstein | Chiropractor | 11740-2 San Jose Blvd, Jacksonville, FL 32223-1629 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679103600 | Karen Gabriela Alexander | Dietitian, Registered | Ackerman Cancer Center, 10881 San Jose Blvd, Jacksonville, FL 32223 | 2020-01-17 |
| 1891250049 | Thalia L Honea | Occupational Therapist | 12766 San Jose Blvd, Suite 716 & 717, Jacksonville, FL 32223 | 2019-02-01 |
| 1447758289 | Stephanie Ann Murphy | Marriage & Family Therapist | 11543 Halethorpe Drive, Jacksonville, FL 32223 | 2018-01-26 |
| 1861948481 | Nicole Gay | Developmental Therapist | 12276 San Jose Blvd, Ste 5, Jacksonville, FL 32223 | 2016-09-01 |
| 1740694439 | Robyn K Mizelle | Behavioral Analyst | 12276 San Jose Blvd. Great Strides Rehabilitation, Suite 507, Jacksonville, FL 32223 | 2014-06-20 |
| 1184038010 | Kelli Anne Cabrera | Occupational Therapist | 12350 San Jose Blvd, Jacksonville, FL 32223 | 2014-06-18 |
| 1891031910 | Mandarin Family Medicine, P.a. | Preferred Provider Organization | 12276-210 San Jose Blvd, Jacksonville, FL 32223 | 2012-12-18 |
| 1114201811 | Darshana Choksi | Pharmacist | 3663 Marbon Rd, Jacksonville, FL 32223 | 2011-09-30 |
| 1346539988 | Harris Wilcox and Donovan Pa | Optometrist | 11790 San Jose Bl, Jacksonville, FL 32223 | 2011-04-05 |
| 1740517796 | Beth A. Kelley | Occupational Therapist | 2640 Scott Mill Dr, Jacksonville, FL 32223 | 2009-11-12 |
| Find all providers in zip 32223 | ||||
| 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 | 32223 |
Please comment or provide details below to improve the information on MAVIS BAKER.
| 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.