Individual provider Active NPI

Jessica Beuckman, LMT

  • Massage Therapist
  • Lake in the Hills, IL
National Provider Identifier
1346578242
Registry record updated Dec 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
227.009462 Issued in IL
Practice address
9231 S Highway 31
Lake in the Hills, IL 60156-1670
Phone
(847) 658-6004
Fax
(847) 829-3991
NPI assigned
Dec 3, 2009
Last updated
Dec 3, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 227.009462 IL Primary

Addresses

Primary practice location

9231 S Highway 31
Lake in the Hills, IL 60156-1670

Mailing address

9231 S Highway 31
Lake in the Hills, IL 60156-1670
Phone (847) 658-6004

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
227.009462ILMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy by Nature Acupuncture & Oriental Medicine Center 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259798400000",
    "number": "1346578242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9231 S HIGHWAY 31",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601561670",
            "telephone_number": "847-658-6004",
            "fax_number": "847-829-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9231 S HIGHWAY 31",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601561670",
            "telephone_number": "847-658-6004",
            "fax_number": "847-829-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEUCKMAN",
        "first_name": "JESSICA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-03",
        "last_updated": "2009-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227.009462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake in the Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; 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.