Active NPI
Jamie Lynn Johnson, LMT
- Massage Therapist
- Melrose, FL
National Provider Identifier
1457626178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA42383
- Practice address
- 5998 Centre St
Suite E
Melrose, FL 32666-6208 - Phone
- (352) 475-1013
- NPI assigned
- Mar 13, 2012
- Last updated
- Mar 13, 2012
- 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 | MA42383 | FL | Primary |
Addresses
Primary practice location
5998 Centre St
Suite E
Melrose, FL 32666-6208
Mailing address
PO Box 583
Melrose, FL 32666-0583
Phone (352) 475-1013
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C2825 | Other | FL | BLUE CROSS BLUE SHIELD OF FLORIDA |
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 |
|---|---|---|---|
| MA42383 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331596800000",
"number": "1457626178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 583",
"city": "MELROSE",
"state": "FL",
"postal_code": "326660583",
"telephone_number": "352-475-1013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5998 CENTRE ST",
"address_2": "SUITE E",
"city": "MELROSE",
"state": "FL",
"postal_code": "326666208",
"telephone_number": "352-475-1013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JAMIE",
"middle_name": "LYNN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-13",
"last_updated": "2012-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA42383",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF FLORIDA",
"identifier": "C2825",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Melrose, FL
- Heart 2 Heart Family Practice
- Amelia Sofia Hernandez Acevedo
- Laura S Hodges, RPT
- Delcora Howell, ARNP
- Vicki Diane Jasmin-Slattery, ARNP
- Erika Kicklighter, M.A. CCC-SLP
- Diane Kim, PTA
- Jennifer Renee King, LMT
- Lake Area Physical Therapy Inc (Lake Area Physical Therapy & Aquatics)
- Sade Debra Law, MA, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.