Active NPI
Jessica J Lindbo, LMP
- Massage Therapist
- Puyallup, WA
National Provider Identifier
1295042026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA6011696811
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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 |
|---|---|---|---|
| MA60169681 | WA | MD | Mechanotherapist |
| MA6011696811 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Massage Therapist
- Puyallup, WA
- NPI 1477113587
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.