NPIMap

Organization Active NPI

Jackie's Beauty Supply, LLC

Doing business as The J Spa

  • Massage Therapist
  • Eugene, OR
National Provider Identifier
1487167086
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
19559 Issued in OR
Legal business name
JACKIE'S BEAUTY SUPPLY, LLC
Doing business as
The J Spa
Practice address
485 Alexander Loop Ste 110
Eugene, OR 97401-6753
Phone
(541) 423-7009
NPI assigned
Nov 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jacqueline Johnson, LMTNPI 1760840896
Title
Owner
Phone
(541) 423-7009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 19559 OR Primary

Addresses

Primary practice location

485 Alexander Loop Ste 110
Eugene, OR 97401-6753

Mailing address

PO Box 21112
Eugene, OR 97402-0356
Phone (541) 423-7009

Other names 1

  • The J Spa Doing business as

National Provider Directory

National Provider Directory

Locations

485 Alexander Loop
Ste 110
Eugene, OR 97401
Phone (541) 423-7009

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1487167086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21112",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974020356",
            "telephone_number": "541-423-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 ALEXANDER LOOP STE 110",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016753",
            "telephone_number": "541-423-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKIE'S BEAUTY SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-06",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-423-7009",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "19559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The J Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.