Stephanie A Jett, LMBT, CLT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

08862 Issued in NC

Practice address

219 Racine Dr
Suite C
Wilmington, NC 28403-8827

Phone

(910) 546-4301

Fax

(910) 392-3986

NPI assigned

Jul 3, 2009

Last updated

Jul 3, 2009By 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

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.

• Lymphedema Management of Wilmington, P.C.

  • Rehabilitation Clinic/Center
  • Wilmington, NC
  • NPI 1437484813
  NPD (past)

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

{
    "created_epoch": "1246579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246579200000",
    "number": "1205065851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 RACINE DR",
            "address_2": "SUITE C",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038827",
            "telephone_number": "910-546-4301",
            "fax_number": "910-392-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 RACINE DR",
            "address_2": "SUITE C",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038827",
            "telephone_number": "910-546-4301",
            "fax_number": "910-392-3986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETT",
        "first_name": "STEPHANIE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LMBT, CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-03",
        "last_updated": "2009-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "08862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Edward Jernigan Jr., MD
• Robin Jervis
• Jessica Morman, LMFT, PLLC (Horizon Wellness Services)
• Mildred White Jessup, RN
• Rachel Jester, MD
• Jewell & Jewell General Dentistry
• Jewell and Associates, PLLC
• Donald Jewell, LMBT
• Edwin Smith Jewell, D.D.S.
• Wilson O'Kelly Jewell, D.D.S.

• Massage Therapist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Massage Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2009; 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.