Individual provider Active NPI

Joy Laraine Athans, MASSAGE THERAPIST

  • Massage Therapist
  • San Diego, CA
National Provider Identifier
1013273762
Registry record updated Apr 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
3090 Issued in CA
Practice address
2602 1St Ave
San Diego, CA 92103-6529
Phone
(619) 316-6714
NPI assigned
Apr 6, 2012
Last updated
Apr 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 222461 CA
Massage Therapist 225700000X 3090 CA Primary

Addresses

Primary practice location

2602 1St Ave
San Diego, CA 92103-6529

Mailing address

3502 1St Ave
Apartment 12
San Diego, CA 92103-4884
Phone (619) 316-6714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
222461CAMDRegistered Nurse
3090CAMDMassage Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333670400000",
    "number": "1013273762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 1ST AVE",
            "address_2": "APARTMENT 12",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034884",
            "telephone_number": "619-316-6714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 1ST AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921036529",
            "telephone_number": "619-316-6714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATHANS",
        "first_name": "JOY",
        "middle_name": "LARAINE",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-06",
        "last_updated": "2012-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "222461",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "3090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.