Individual provider Active NPI

Jacqueline Delores Hugee, CMT

  • Massage Therapist
  • Atlanta, GA
National Provider Identifier
1366672206
Registry record updated Jul 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT003099 Issued in GA
Practice address
2814 Spring Rd SE
Suite 201
Atlanta, GA 30339-3046
Phone
(770) 875-1133
Fax
(757) 923-4889
NPI assigned
Jul 24, 2009
Last updated
Jul 24, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 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 MT003099 GA Primary

Addresses

Primary practice location

2814 Spring Rd SE
Suite 201
Atlanta, GA 30339-3046

Mailing address

4355 Oak Manor Dr NW
Acworth, GA 30101-5807
Phone (770) 875-1133

Other names 1

  • Jacqueline Delores Reid Professional name

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
MT003099GAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248393600000",
    "number": "1366672206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 OAK MANOR DR NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301015807",
            "telephone_number": "770-875-1133",
            "fax_number": "757-923-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 SPRING RD SE",
            "address_2": "SUITE 201",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393046",
            "telephone_number": "770-875-1133",
            "fax_number": "757-923-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGEE",
        "first_name": "JACQUELINE",
        "middle_name": "DELORES",
        "name_prefix": "Ms.",
        "credential": "CMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-24",
        "last_updated": "2009-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT003099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "REID",
            "middle_name": "DELORES",
            "credential": "CMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.