Active NPI
Tierney Jeffers, LMT
- Massage Therapist
- Gillette, WY
National Provider Identifier
1487355772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT11801
- Practice address
- 2001 W Lakeway Rd
Gillette, WY 82718-5773 - Phone
- (307) 299-5939
- NPI assigned
- Mar 14, 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 | MT11801 | SD | Primary |
Addresses
Primary practice location
2001 W Lakeway Rd
Gillette, WY 82718-5773
Mailing address
3900 Foothills Blvd
Gillette, WY 82716-2214
Phone (307) 299-5939
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 |
|---|---|---|---|
| MT11801 | SD | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678752000000",
"number": "1487355772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 FOOTHILLS BLVD",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827162214",
"telephone_number": "307-299-5939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 W LAKEWAY RD",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827185773",
"telephone_number": "307-299-5939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERS",
"first_name": "TIERNEY",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-14",
"last_updated": "2023-03-14",
"certification_date": "2023-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "SD",
"license": "MT11801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gillette, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.