Active NPI
Jessica Greer, LMT
- Massage Therapist
- St Augustine, FL
National Provider Identifier
1457071177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA95657
- Practice address
- 319 W Town PL Ste 22
St Augustine, FL 32092-3103 - Phone
- (904) 680-7328
- NPI assigned
- Sep 1, 2022
- 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 | MA95657 | FL | Primary |
Addresses
Primary practice location
319 W Town PL Ste 22
St Augustine, FL 32092-3103
Mailing address
319 W Town PL Ste 22
St Augustine, FL 32092-3103
Phone (904) 680-7328
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 |
|---|---|---|---|
| MA95657 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindy'S Massage and Wellness, LLC | Massage Therapist | Current | Accepting new patients |
Locations
319 W Town Pl
Ste 22
St Augustine, FL 32092
Phone (904) 680-7328
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661990400000",
"number": "1457071177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 W TOWN PL STE 22",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320923103",
"telephone_number": "904-680-7328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 W TOWN PL STE 22",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320923103",
"telephone_number": "904-680-7328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREER",
"first_name": "JESSICA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-01",
"last_updated": "2022-09-01",
"certification_date": "2022-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA95657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.