Jackelyn Hernandez, CMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

86015 Issued in CA

Practice address

808 Mercy Ave
Modesto, CA 95358-1451

Phone

(209) 765-3451

NPI assigned

Jul 11, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jack Hernandez Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1752192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1013808682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 MERCY AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953581451",
            "telephone_number": "209-765-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 MERCY AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953581451",
            "telephone_number": "209-765-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JACKELYN",
        "credential": "CMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-11",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "86015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACK",
            "last_name": "HERNANDEZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Guadalupe Vigil Hernandez
• Gustavo Hernandez, MS, CMD
• Heather Hernandez
• Isaac Hernandez
• Ivette Hernandez
• Jennifer Hernandez
• Jessica Hernandez
• Jose Angel Hernandez, D.C.
• Josefina Hernandez
• Josefina Nunez Hernandez

• Massage Therapist in Modesto, CA
• Providers in Modesto, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.