Active NPI
Jordan Shaffer, CMT
- Massage Therapist
- Napa, CA
National Provider Identifier
1245066158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 92048
- Practice address
- 1340 Clay St
Napa, CA 94559-2550 - Phone
- (925) 719-6042
- NPI assigned
- Sep 9, 2024
- Sex
- Male
- 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 | 92048 | CA | Primary |
Addresses
Primary practice location
1340 Clay St
Napa, CA 94559-2550
Mailing address
108 Casswall St
Napa, CA 94558-5902
Phone (925) 719-6042
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 |
|---|---|---|---|
| 92048 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1245066158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 CASSWALL ST",
"city": "NAPA",
"state": "CA",
"postal_code": "945585902",
"telephone_number": "925-719-6042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 CLAY ST",
"city": "NAPA",
"state": "CA",
"postal_code": "945592550",
"telephone_number": "925-719-6042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFFER",
"first_name": "JORDAN",
"credential": "CMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-09",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "92048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.