Active NPI
Jessica Lynn Mahaffey
- Massage Therapist
- Vernon, FL
National Provider Identifier
1275706087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 44351
- Practice address
- 2829 Yellow Jacket Dr
Vernon, FL 32462-2011 - Phone
- (850) 625-9501
- Fax
- (850) 388-1220
- NPI assigned
- Apr 12, 2008
- Last updated
- Apr 12, 2008
- 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 | MA 44351 | FL | Primary |
Addresses
Primary practice location
2829 Yellow Jacket Dr
Vernon, FL 32462-2011
Mailing address
2829 Yellow Jacket Dr
Vernon, FL 32462-2011
Phone (850) 625-9501
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 |
|---|---|---|---|
| MA 44351 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207958400000",
"number": "1275706087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2829 YELLOW JACKET DR",
"city": "VERNON",
"state": "FL",
"postal_code": "324622011",
"telephone_number": "850-625-9501",
"fax_number": "850-388-1220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2829 YELLOW JACKET DR",
"city": "VERNON",
"state": "FL",
"postal_code": "324622011",
"telephone_number": "850-625-9501",
"fax_number": "850-388-1220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHAFFEY",
"first_name": "JESSICA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-12",
"last_updated": "2008-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA 44351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vernon, FL
- Holmes Creek Assisted Living Facility, Inc.
- Kathleen Jackson
- Kenneth L Jones, PA-C
- Erin Lynn Keip-Strausbaugh, LMHC
- L&S Home Health Care
- Michael D Nissen, N.P.-C
- Northwest Florida Healthcare, Inc. (Vernon Clinic - Northwest Florida Community Hospital)
- Northwest Florida Healthcare, Inc. (Vernon Clinic-NFCH)
- Oak Valley Alf
- Samuel E Ward MD PL (Ward Medical Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.