Jessica S Alexander, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7501011087 Issued in MI

Practice address

751 Kenmoor Ave SE Ste H
Grand Rapids, MI 49546-2391

Phone

(616) 466-4175

NPI assigned

Sep 12, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Grand Wellness, LLC

  • Acupuncturist
  • Grand Rapids, MI
  • NPI 1821465956

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1043860976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MADISON AVE SE # 3",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034618",
            "telephone_number": "503-453-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 KENMOOR AVE SE STE H",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462391",
            "telephone_number": "616-466-4175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1618 Leonard St NW",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495043950",
            "country_code": "US",
            "telephone_number": "616-791-4990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "JESSICA",
        "middle_name": "S",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501011087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Brito Counseling LLC
• Alexander Corcoran PA-C LLC
• Angela Alexander, LMSW
• Caroline Ruth Alexander, MS, CCC-SLP
• Dawn Alexander
• Kenya Marquita Alexander, M.D.
• Keristin Alexander
• Kyle Alexander, MD
• Lois Alexander, M.S.W.
• Madalyn Irene Alexander, M.S., CCC-SLP

• Massage Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.