Active NPI
Jenna Laitinen, LMT, BCTMB
- Massage Therapist
- Kenner, LA
National Provider Identifier
1316601826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 4118
- Practice address
- 3635 Florida Ave
Kenner, LA 70065-3469 - Phone
- (504) 464-5949
- Fax
- (504) 464-5947
- NPI assigned
- Oct 30, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 4118 | LA | Primary |
Addresses
Primary practice location
3635 Florida Ave
Kenner, LA 70065-3469
Mailing address
3635 Florida Ave
Kenner, LA 70065-3469
Phone (504) 464-5949
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 |
|---|---|---|---|
| 4118 | LA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nancy'S Hair Styles Unlimited, Inc | 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.
-
- Prosthetist
- Kenner, LA
- NPI 1386025500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635552000000",
"number": "1316601826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3635 FLORIDA AVE",
"city": "KENNER",
"state": "LA",
"postal_code": "700653469",
"telephone_number": "504-464-5949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3635 FLORIDA AVE",
"city": "KENNER",
"state": "LA",
"postal_code": "700653469",
"telephone_number": "504-464-5949",
"fax_number": "504-464-5947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAITINEN",
"first_name": "JENNA",
"credential": "LMT, BCTMB",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-30",
"last_updated": "2021-10-30",
"certification_date": "2021-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "LA",
"license": "4118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenner, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.