Individual provider Active NPI

Jenna Marie Norton, LMT

  • Massage Therapist
  • Ripon, WI
National Provider Identifier
1497399885
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
10785-146 Issued in WI
Practice address
608 E Fond Du Lac St
Ripon, WI 54971-9500
Phone
(920) 246-2740
NPI assigned
Oct 29, 2019
Last updated
Oct 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 10785-146 WI Primary

Addresses

Primary practice location

608 E Fond Du Lac St
Ripon, WI 54971-9500

Mailing address

W2223 Ledgeview Rd
Green Lake, WI 54941-9628
Phone (920) 246-2740

Other practice location 1

492 Hill St Ste 210
Green Lake, WI 54941-8829
Phone (920) 246-2740

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

LicenseStateTypeSpecialty
10785-146WIMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1497399885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W2223 LEDGEVIEW RD",
            "city": "GREEN LAKE",
            "state": "WI",
            "postal_code": "549419628",
            "telephone_number": "920-246-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 E FOND DU LAC ST",
            "city": "RIPON",
            "state": "WI",
            "postal_code": "549719500",
            "telephone_number": "920-246-2740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "492 Hill St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Green Lake",
            "state": "WI",
            "postal_code": "549418829",
            "country_code": "US",
            "telephone_number": "920-246-2740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORTON",
        "first_name": "JENNA",
        "middle_name": "MARIE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "10785-146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ripon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.