Active NPI
Jennifer Hedrick
- Massage Therapist
- Lansing, WV
National Provider Identifier
1316309248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2002-0874
- Practice address
- 1 Ames Heights Road
Lansing, WV 25862-0078 - Phone
- (304) 228-1012
- NPI assigned
- Mar 21, 2016
- Last updated
- Mar 21, 2016
- 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 | 2002-0874 | WV | Primary |
Addresses
Primary practice location
1 Ames Heights Road
Lansing, WV 25862-0078
Mailing address
PO Box 201
Mount Nebo, WV 26679-0201
Phone (304) 228-1012
Other names 1
- Jennifer Lee Hedrick
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 |
|---|---|---|---|
| 2002-0874 | WV | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458518400000",
"number": "1316309248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 201",
"city": "MOUNT NEBO",
"state": "WV",
"postal_code": "266790201",
"telephone_number": "304-228-1012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 AMES HEIGHTS ROAD",
"city": "LANSING",
"state": "WV",
"postal_code": "258620078",
"telephone_number": "304-228-1012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEDRICK",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-21",
"last_updated": "2016-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WV",
"license": "2002-0874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "HEDRICK",
"middle_name": "LEE",
"credential": "LMT",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Lansing, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.