Jamie Rene Hernandez, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

10345 Waterville St
Whitehouse, OH 43571

Phone

(419) 419-3800

NPI assigned

Aug 27, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Jamie Rene Shaneyfelt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Anthony Wayne Community Chiropractic LLC

  • Chiropractor
  • Whitehouse, OH
  • NPI 1750883260
  NPD (past)

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1285115394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10345 WATERVILLE ST",
            "city": "WHITEHOUSE",
            "state": "OH",
            "postal_code": "43571",
            "telephone_number": "419-419-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10345 WATERVILLE ST",
            "city": "WHITEHOUSE",
            "state": "OH",
            "postal_code": "43571",
            "telephone_number": "419-419-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JAMIE",
        "middle_name": "RENE",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "SHANEYFELT",
            "middle_name": "RENE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan Mildred Fix, RN BS CDE
• Thomas Richard Garvin Jr., PTA
• Generals Pharmacy LLC
• John Thomas Gentile, PHARMACY
• Sarah A Grebe
• Ebony Hill
• Donya Marcel Hogston, OT/L
• Michael R Hollerbach, DC
• Bert Hutchison
• Candy L Jefts

• All providers in Whitehouse, OH
• Massage Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.