Active NPI
Jennifer Lea Dirden, C.M.T.
- Massage Therapist
- Westminster, CO
National Provider Identifier
1366747545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 4346
- Practice address
- 11450 King St
Westminster, CO 80031-7149 - Phone
- (303) 359-9912
- NPI assigned
- Jan 19, 2011
- Last updated
- Jan 19, 2011
- 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 | 4346 | CO | Primary |
Addresses
Primary practice location
11450 King St
Westminster, CO 80031-7149
Mailing address
2418 E Bridge St
Brighton, CO 80601-2546
Phone (303) 655-8699
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 |
|---|---|---|---|
| 4346 | CO | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295395200000",
"number": "1366747545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2418 E BRIDGE ST",
"city": "BRIGHTON",
"state": "CO",
"postal_code": "806012546",
"telephone_number": "303-655-8699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11450 KING ST",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800317149",
"telephone_number": "303-359-9912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIRDEN",
"first_name": "JENNIFER",
"middle_name": "LEA",
"credential": "C.M.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-19",
"last_updated": "2011-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "4346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westminster, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.