Patricia Jensen, LPN

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

845 E Fairview Ave Ste 120
Meridian, ID 83642-8048

Phone

(208) 887-6283

Fax

(208) 887-7759

NPI assigned

Apr 19, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303171200000",
    "number": "1255621637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 E FAIRVIEW AVE STE 120",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428048",
            "telephone_number": "208-887-6283",
            "fax_number": "208-887-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 E FAIRVIEW AVE STE 120",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428048",
            "telephone_number": "208-887-6283",
            "fax_number": "208-887-7759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "PATRICIA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-19",
        "last_updated": "2011-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "ID",
            "license": "PN-9105",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M8059118",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jared Lee Jensen
• Kade Martin Jensen, LCSW
• Laurie Anne Jensen, PH.D.
• Madison Jensen, LPC
• Nikkala Rene Jensen
• Rikki Victoria Clemens Jensen, MA, LPC
• William J Jensen, PA-C
• Mark A Jepson, NP
• Allison Janina Lyn Jespersen, BEHAVIOR TECHNICIAN
• David Vereen Jessop Jr., DOCTOR OF CHIROPRACT

• Massage Therapist in Meridian, ID
• Providers in Meridian, ID by specialty
• Massage Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; 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.