Active NPI
Ashley Ryshia Marie Jenkins, LMT
- Massage Therapist
- Albuquerque, NM
National Provider Identifier
1164938767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 22390
- Practice address
- 3620 Wyoming Blvd NE Ste 102D
Albuquerque, NM 87111-3286 - Phone
- (520) 342-9023
- NPI assigned
- Dec 18, 2017
- 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 | 22390 | AZ | Primary |
Addresses
Primary practice location
3620 Wyoming Blvd NE Ste 102D
Albuquerque, NM 87111-3286
Mailing address
5508 Carmelita Dr NE
Albuquerque, NM 87111-1739
Phone (520) 342-9023
Other practice location 1
8230 E Broadway Blvd # E9A
Tucson, AZ 85710-4044
Phone (520) 789-8890
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22390 | Other | AZ | ARIZONA MASSAGE BOARD |
Other names 1
- Ashley Ryshia Marie Jenkins
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 |
|---|---|---|---|
| 22390 | AZ | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657238400000",
"number": "1164938767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5508 CARMELITA DR NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871111739",
"telephone_number": "520-342-9023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3620 WYOMING BLVD NE STE 102D",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871113286",
"telephone_number": "520-342-9023"
}
],
"practiceLocations": [
{
"address_1": "8230 E Broadway Blvd # E9A",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857104044",
"country_code": "US",
"telephone_number": "520-789-8890",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JENKINS",
"first_name": "ASHLEY",
"middle_name": "RYSHIA MARIE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-18",
"last_updated": "2022-07-08",
"certification_date": "2020-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AZ",
"license": "22390",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA MASSAGE BOARD",
"identifier": "22390",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "JENKINS",
"middle_name": "RYSHIA MARIE",
"credential": "BOARD LICENSE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.