Active NPI
Jennifer Dee Tollefsrud, LMBT
- Massage Therapist
- Clayton, NC
National Provider Identifier
1285088641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 15164
- Practice address
- 401 E Main St
Suite 206-B
Clayton, NC 27520-2545 - Phone
- (919) 622-1789
- NPI assigned
- Apr 21, 2016
- 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 | 15164 | NC | Primary |
Addresses
Primary practice location
401 E Main St
Suite 206-B
Clayton, NC 27520-2545
Mailing address
401 E Main St
Suite 206-B
Clayton, NC 27520-2545
Phone (919) 622-1789
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 |
|---|---|---|---|
| 15164 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461196800000",
"number": "1285088641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 E MAIN ST",
"address_2": "SUITE 206-B",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275202545",
"telephone_number": "919-622-1789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E MAIN ST",
"address_2": "SUITE 206-B",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275202545",
"telephone_number": "919-622-1789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLLEFSRUD",
"first_name": "JENNIFER",
"middle_name": "DEE",
"name_prefix": "Mrs.",
"credential": "LMBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-21",
"last_updated": "2016-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "15164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clayton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.