Individual provider Active NPI

Jasmine Green

  • Massage Therapist
  • Biloxi, MS
National Provider Identifier
1295543080
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
2150 Issued in MS
Practice address
14912 Mallett Rd Apt F301
Biloxi, MS 39532-0026
Phone
(601) 397-9036
NPI assigned
Dec 25, 2024
Reactivated
May 11, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 2150 MS Primary
Private Vehicle 347C00000X 800978630 MS

Addresses

Primary practice location

14912 Mallett Rd Apt F301
Biloxi, MS 39532-0026

Mailing address

768 Cherry Stone Dr
Clinton, MS 39056-2015
Phone (601) 397-9036

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
2150MSMDMassage Therapist
800978630MSMDPrivate Vehicle

Practice roles

OrganizationSpecialtyStatusNew patients
Relax & Restore Studio Massage Therapist Current 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": "1735084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1295543080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "768 CHERRY STONE DR",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390562015",
            "telephone_number": "601-397-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14912 MALLETT RD APT F301",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395320026",
            "telephone_number": "601-397-9036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JASMINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-25",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "deactivation_date": "2026-04-08",
        "reactivation_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "MS",
            "license": "2150",
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "MS",
            "license": "800978630",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.