Jessica Mink Haines, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT 00892

Practice address

2420 Bemiss Rd Ste B
Valdosta, GA 31602-4809

Phone

(229) 293-9511

Fax

(229) 293-9141

NPI assigned

Jul 24, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Azalea City Chiropractic

  • Chiropractor
  • Valdosta, GA
  • NPI 1649573130
  NPD (past)

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

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1386874303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 BEMISS RD STE B",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316024812",
            "telephone_number": "229-241-9300",
            "fax_number": "229-241-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 BEMISS RD STE B",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316024809",
            "telephone_number": "229-293-9511",
            "fax_number": "229-293-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAINES",
        "first_name": "JESSICA",
        "middle_name": "MINK",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-24",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": "MT 00892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura D Gwillim
• Barbara Hacker, CCC/SLP
• Brian Keith Hackett
• Jasmine Elizabeth Rose Hagen
• Shonjuanaka Shonta Hails-Chapman
• Don E Hairston, LCSW
• Brandon Hall, NP
• Eric Hamilton, M.D.
• Nicholas Thomas Hamilton
• Diane Hamon, LCSW

• Massage Therapist in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Massage Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.

Verify at the official NPI Registry.