Active NPI
Jeniffa Tchintchibidja
- Massage Therapist
- Atlanta, GA
National Provider Identifier
1407541386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT014259
- Practice address
- 149 26TH St NW
Atlanta, GA 30309-2065 - Phone
- (678) 907-5836
- NPI assigned
- Apr 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | MT014259 | GA | Primary |
Addresses
Primary practice location
149 26TH St NW
Atlanta, GA 30309-2065
Mailing address
149 26TH St NW Apt 1418
Atlanta, GA 30309-2072
Phone (678) 907-5836
Other names 1
- NA NA
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 |
|---|---|---|---|
| MT014259 | GA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680825600000",
"number": "1407541386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 26TH ST NW APT 1418",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303092072",
"telephone_number": "678-907-5836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 26TH ST NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303092065",
"telephone_number": "678-907-5836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TCHINTCHIBIDJA",
"first_name": "JENIFFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-07",
"last_updated": "2023-04-07",
"certification_date": "2023-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT014259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NA",
"last_name": "NA",
"code": "1",
"type": "Former 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 Apr 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.