Jennifer Lovell Wilson, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

005932 Issued in IA

Practice address

102 W 2ND Ave
Indianola, IA 50125-2522

Phone

(515) 962-2166

NPI assigned

May 21, 2013

Last updated

May 21, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Warren County Chiropractic Inc

  • Chiropractor
  • Indianola, IA
  • NPI 1942274238
  NPD (past)

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1013353713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 E 3RD AVE",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501252945",
            "telephone_number": "319-202-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W 2ND AVE",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501252522",
            "telephone_number": "515-962-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JENNIFER",
        "middle_name": "LOVELL",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IA",
            "license": "005932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Delynne Wessel
• Steven Ensley West, D.D.S.
• Barbara M White, DO
• Amy Marie Whitlatch-Gillum, PT
• Colton Wilson, DPT
• Wimer Medical Services, PC
• Lucas Winder, DDS
• Craig A Winjum, OD
• Wendy Lynn Wohlwend
• Kimberly S Wright, CERTIFIED PHLEBOTOMI

• Massage Therapist in Indianola, IA
• Providers in Indianola, IA by specialty
• Massage Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.