Active NPI
Brenda Ann Jarred, AMMP
- Massage Therapist
- Chicago, IL
National Provider Identifier
1306210117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 227007598
- Practice address
- 6510 N Claremont Ave
3Rd Floor
Chicago, IL 60645 - Phone
- (773) 683-2667
- NPI assigned
- Nov 17, 2015
- 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 | 227007598 | IL | Primary |
Addresses
Primary practice location
6510 N Claremont Ave
3Rd Floor
Chicago, IL 60645
Mailing address
6510 N Claremont Ave
3Rd Floor
Chicago, IL 60645
Phone (773) 683-2667
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 |
|---|---|---|---|
| 227007598 | IL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447718400000",
"number": "1306210117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6510 N CLAREMONT AVE",
"address_2": "3RD FLOOR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60645",
"telephone_number": "773-683-2667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6510 N CLAREMONT AVE",
"address_2": "3RD FLOOR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60645",
"telephone_number": "773-683-2667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARRED",
"first_name": "BRENDA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "AMMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-17",
"last_updated": "2015-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IL",
"license": "227007598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.