Active NPI
Quaniessa Rochelle Jenkins
- Massage Therapist
- Atlanta, GA
National Provider Identifier
1134728124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 009704
- Practice address
- 449 Oak Dr # 2
Atlanta, GA 30354-1228 - Phone
- (470) 257-5896
- NPI assigned
- Oct 20, 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 | 009704 | GA | Primary |
Addresses
Primary practice location
449 Oak Dr # 2
Atlanta, GA 30354-1228
Mailing address
449 Oak Dr # 2
Atlanta, GA 30354-1228
Phone (470) 257-5896
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 |
|---|---|---|---|
| 009704 | GA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605139200000",
"number": "1134728124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "449 OAK DR # 2",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303541228",
"telephone_number": "470-257-5896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "449 OAK DR # 2",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303541228",
"telephone_number": "470-257-5896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "QUANIESSA",
"middle_name": "ROCHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-20",
"last_updated": "2020-11-12",
"certification_date": "2020-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "009704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.