Active NPI
Jesslynn Cody Stull
- Massage Therapist
- Norman, OK
National Provider Identifier
1447495833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- OCC-10146
- Practice address
- 1800 N Interstate Dr
Norman, OK 73072-2993 - Phone
- (816) 522-3633
- NPI assigned
- Dec 13, 2008
- 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 | OCC-10146 | OK | Primary |
Addresses
Primary practice location
1800 N Interstate Dr
Norman, OK 73072-2993
Mailing address
501 Inwood Dr
Norman, OK 73072-6515
Phone (816) 522-3633
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 |
|---|---|---|---|
| OCC-10146 | OK | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229126400000",
"number": "1447495833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 INWOOD DR",
"city": "NORMAN",
"state": "OK",
"postal_code": "730726515",
"telephone_number": "816-522-3633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 N INTERSTATE DR",
"city": "NORMAN",
"state": "OK",
"postal_code": "730722993",
"telephone_number": "816-522-3633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STULL",
"first_name": "JESSLYNN",
"middle_name": "CODY",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-13",
"last_updated": "2008-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OK",
"license": "OCC-10146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.