Jamilah El Elite, MASSAGE THERAPIST

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

628 2ND Ave Ste 302
Crockett, CA 94525-1176

Phone

(510) 435-7772

Fax

(510) 787-7704

NPI assigned

Feb 13, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Jamilah Elite Morris Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1023286994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 CHELSEA",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945473848",
            "telephone_number": "510-435-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 2ND AVE STE 302",
            "city": "CROCKETT",
            "state": "CA",
            "postal_code": "945251176",
            "telephone_number": "510-435-7772",
            "fax_number": "510-787-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELITE",
        "first_name": "JAMILAH",
        "middle_name": "EL",
        "name_prefix": "Miss",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMILAH",
            "last_name": "MORRIS",
            "middle_name": "ELITE",
            "prefix": "MISS",
            "credential": "MASSAGE THERAPIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Specialist in Crockett, CA
• Providers in Crockett, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.