Jessica Fontanez, MASSAGE THERAPIST

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA65183 Issued in FL

Practice address

4711 N Grady Ave Apt 6
Tampa, FL 33614-6567

Phone

(813) 291-4970

NPI assigned

Mar 20, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1316573496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 N GRADY AVE APT 6",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146567",
            "telephone_number": "813-447-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 N GRADY AVE APT 6",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146567",
            "telephone_number": "813-291-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTANEZ",
        "first_name": "JESSICA",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-20",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA65183",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "65183",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Jessymobil.com@gmail.com",
            "affiliation": "N",
            "address_1": "4711 N Grady Ave Apt 6",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336146567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jacques-Pierre Fontaine, M.D.
• Manita Fontaine
• Alexandra Fontana
• Nicole Charleen Fontanet
• Madeline Fontanez Nieves
• Justin Efrain Fontanez
• Keila Fonte Cabrera
• Danairis Fonte Lago, RBT
• Jennifer Fonte-Vargas
• Alba Marina Fontes

• Massage Therapist in Tampa, FL
• Providers in Tampa, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; 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.