Individual provider Active NPI

Jessica J Lindbo, LMP

  • Massage Therapist
  • Puyallup, WA
National Provider Identifier
1295042026
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA6011696811 Issued in WA
Practice address
16515 Meridian Ave E Suite 103B
Puyallup, WA 98375
Phone
(253) 777-2691
NPI assigned
Aug 31, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X MA60169681 WA
Massage Therapist 225700000X MA6011696811 WA Primary

Addresses

Primary practice location

16515 Meridian Ave E Suite 103B
Puyallup, WA 98375

Mailing address

23817 109TH St. CT. E.
Buckley, WA 98321
Phone (253) 209-8535

Other names 1

  • Mrs. Jessica J Jaramillo Former name

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

LicenseStateTypeSpecialty
MA60169681WAMDMechanotherapist
MA6011696811WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica Jaramillo, LLC Massage Therapist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1295042026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23817 109TH ST. CT. E.",
            "city": "BUCKLEY",
            "state": "WA",
            "postal_code": "98321",
            "telephone_number": "253-209-8535",
            "fax_number": "253-845-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16515 MERIDIAN AVE E SUITE 103B",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "98375",
            "telephone_number": "253-777-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDBO",
        "first_name": "JESSICA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-31",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA60169681",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA6011696811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "JARAMILLO",
            "middle_name": "J",
            "prefix": "MRS.",
            "credential": "LMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.