Active NPI
Jennifer Dawn Ross, MT
- Massage Therapist
- Grand Junction, CO
National Provider Identifier
1235535683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT.0014388
- Practice address
- 560 29 1/2 Rd Apt 206
Grand Junction, CO 81504-3904 - Phone
- (970) 773-0110
- NPI assigned
- Nov 12, 2014
- 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 | MT.0014388 | CO | Primary |
Addresses
Primary practice location
560 29 1/2 Rd Apt 206
Grand Junction, CO 81504-3904
Mailing address
560 29 1/2 Rd Apt 206
Grand Junction, CO 81504-3904
Phone (970) 773-0110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000157063-10 | Medicaid | CO |
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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT.0014388 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415750400000",
"number": "1235535683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 29 1/2 RD APT 206",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815043904",
"telephone_number": "970-773-0110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 29 1/2 RD APT 206",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815043904",
"telephone_number": "970-773-0110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "JENNIFER",
"middle_name": "DAWN",
"credential": "MT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-12",
"last_updated": "2014-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "MT.0014388",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000157063-10",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.