Jordan L Valenzuela, CMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

66704 Issued in CA

Practice address

1083 Hartnell Ave
Redding, CA 96002-2115

Phone

(530) 605-0071

NPI assigned

Jan 6, 2021

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

• Jordan Leigh Fisher Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Shasta Strong Massage and Wellness

  • Massage Therapist
  • Redding, CA
  • NPI 1114515053
  NPD Authorized official

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1033707823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1083 HARTNELL AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960022115",
            "telephone_number": "530-605-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1083 HARTNELL AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960022115",
            "telephone_number": "530-605-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENZUELA",
        "first_name": "JORDAN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "CMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "66704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Frontdesk@shasta-strong.com",
            "affiliation": "N",
            "endpointDescription": "Front desk secure email.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health info exchange",
            "address_1": "1083 Hartnell Ave",
            "city": "Redding",
            "state": "CA",
            "country_code": "US",
            "postal_code": "960022115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "FISHER",
            "middle_name": "LEIGH",
            "credential": "CMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ariana Valdes Zenteno
• Margi Valdivia
• Amanda Valek
• John Gabriel Valencia
• Pamala Reed Valentine, FNP
• Dalyn E. Valle
• Erica Neomi Valverde
• Jeff Van Ausdall
• Rosemarie B Van Der Jagt, M.A. CCC-SLP
• Mone Van Der Linde

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.