Active NPI
Jennifer K. Walker, RMT #190
- Massage Therapist
- Lucedale, MS
National Provider Identifier
1033420609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 190
- Practice address
- 352 Oak Street
Lucedale, MS 39452 - Phone
- (601) 766-0918
- NPI assigned
- Jun 29, 2010
- Last updated
- May 6, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 190 | MS | Primary |
Addresses
Primary practice location
352 Oak Street
Lucedale, MS 39452
Mailing address
352 Oak Street
Lucedale, MS 39452
Phone (601) 766-0918
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NEEDED | Medicaid | MS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367798400000",
"number": "1033420609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "352 OAK STREET",
"city": "LUCEDALE",
"state": "MS",
"postal_code": "39452",
"telephone_number": "601-766-0918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "352 OAK STREET",
"city": "LUCEDALE",
"state": "MS",
"postal_code": "39452",
"telephone_number": "601-766-0918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "JENNIFER",
"middle_name": "K.",
"name_prefix": "Mrs.",
"credential": "RMT #190",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-29",
"last_updated": "2013-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MS",
"license": "190",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NEEDED",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lucedale, MS
- Courtney Louise Valentine, M.D.
- Leslie Helen Valentine, OD
- Tammy C Wade, OT
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1260)
- Wal-Mart Stores East, LP (Vision Center 30-1260)
- Tera Lynn Dozier Walters, M.S., CCC-SLP
- Ware Family Dental of Mississippi
- Adrienne Smith Ware, DDS
- Jeanne S Weeks, PT
- Jo'El Cheri Welch, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.