Active NPI
Jacquelyn Shae Cramton
- Massage Therapist
- Mountain Home, AR
National Provider Identifier
1043834518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 8845
- Practice address
- 424 W Paul Ave
Mountain Home, AR 72653-4506 - Phone
- (870) 424-3611
- Fax
- (870) 424-3761
- NPI assigned
- Jun 1, 2020
- 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 | 8845 | AR | Primary |
Addresses
Primary practice location
424 W Paul Ave
Mountain Home, AR 72653-4506
Mailing address
424 W Paul Ave
Mountain Home, AR 72653-4506
Phone (870) 424-3611
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jcram00d@outlook.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8845 | AR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bright Chiropractic LLC | Current | Accepting new patients | |
| Lagena L Rosa DC PA | Past | Accepting new patients |
Locations
424 W Paul Ave
Mountain Home, AR 72653
Phone (870) 424-3611
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590969600000",
"number": "1043834518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 W PAUL AVE",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726534506",
"telephone_number": "870-424-3611",
"fax_number": "870-424-3761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 W PAUL AVE",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726534506",
"telephone_number": "870-424-3611",
"fax_number": "870-424-3761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAMTON",
"first_name": "JACQUELYN",
"middle_name": "SHAE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-01",
"last_updated": "2020-06-01",
"certification_date": "2020-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AR",
"license": "8845",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jcram00d@outlook.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "424 W Paul Ave",
"city": "Mountain Home",
"state": "AR",
"country_code": "US",
"postal_code": "726534506",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Mountain Home, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.