Individual provider Active NPI

Jamie L Hahne

  • Massage Therapist
  • Freeburg, IL
National Provider Identifier
1386961464
Registry record updated Apr 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
227.011409 Issued in IL
Practice address
102 N State St
Freeburg, IL 62243-1214
Phone
(618) 539-6210
Fax
(618) 539-6276
NPI assigned
Apr 28, 2010
Last updated
Apr 28, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2010

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 227.011409 IL Primary

Addresses

Primary practice location

102 N State St
Freeburg, IL 62243-1214

Mailing address

102 N State St
Freeburg, IL 62243-1214
Phone (618) 539-6210

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
227.011409ILMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272412800000",
    "number": "1386961464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N STATE ST",
            "city": "FREEBURG",
            "state": "IL",
            "postal_code": "622431214",
            "telephone_number": "618-539-6210",
            "fax_number": "618-539-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N STATE ST",
            "city": "FREEBURG",
            "state": "IL",
            "postal_code": "622431214",
            "telephone_number": "618-539-6210",
            "fax_number": "618-539-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHNE",
        "first_name": "JAMIE",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-28",
        "last_updated": "2010-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227.011409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; 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.