Jennifer Amy Halberg, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA7819 Issued in WA

Practice address

430 E Lauridsen Blvd
Ste. 113
Port Angeles, WA 98362-7978

Phone

(360) 808-4989

Fax

(360) 452-8079

NPI assigned

Dec 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Halberg Chiropractic Clinic, PLLC

  dba Halberg Chiropractic Clinic

  • Chiropractor
  • Port Angeles, WA
  • NPI 1194778662
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174689921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 E LAURIDSEN BLVD",
            "address_2": "STE. 113",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983627978",
            "telephone_number": "360-808-4989",
            "fax_number": "360-452-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 E LAURIDSEN BLVD",
            "address_2": "STE. 113",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983627978",
            "telephone_number": "360-808-4989",
            "fax_number": "360-452-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALBERG",
        "first_name": "JENNIFER",
        "middle_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA7819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0202248",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "IR5507",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhonda McMurray Hagen
• Tess Haggerty
• Zina Hajduczok, MD
• Halberg Chiropractic Clinic, PLLC (Halberg Chiropractic Clinic)
• James Gustaf Halberg, D.C.
• Enid Elize Halewyn, PT
• Alicia Lorine Haley
• Rebecca Joann Haley
• Robert Hernandez Haley Jr.
• Baileigh H Halkett, PA-C

• Massage Therapist in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.