Active NPI
Greta Estela Jaen de Jones, LMT,MLD-C
- Massage Therapist
- Alpharetta, GA
National Provider Identifier
1235750555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT012685
- Practice address
- 6710 Jamestown Dr
Alpharetta, GA 30005-3030 - Phone
- (770) 558-6900
- NPI assigned
- Apr 27, 2020
- Sex
- Female
- Sole proprietor
- No
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 | MT012685 | GA | Primary |
Addresses
Primary practice location
6710 Jamestown Dr
Alpharetta, GA 30005-3030
Mailing address
1660 Silverleaf Way
Alpharetta, GA 30005-3718
Phone (404) 660-6703
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gretajones@complementarytherapiesbygreta.com | Direct |
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 |
|---|---|---|---|
| MT012685 | GA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598832000000",
"number": "1235750555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1660 SILVERLEAF WAY",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300053718",
"telephone_number": "404-660-6703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6710 JAMESTOWN DR",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300053030",
"telephone_number": "770-558-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAEN DE JONES",
"first_name": "GRETA",
"middle_name": "ESTELA",
"name_prefix": "Mrs.",
"credential": "LMT,MLD-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-27",
"last_updated": "2020-08-31",
"certification_date": "2020-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT012685",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gretajones@complementarytherapiesbygreta.com",
"affiliation": "N",
"endpointDescription": "secure email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1660 Silverleaf Way",
"city": "Alpharetta",
"state": "GA",
"country_code": "US",
"postal_code": "300053718",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.