Individual provider Active NPI

Jacquelyne Youngquist, CMT#74308

  • Massage Therapist
  • Copperopolis, CA
National Provider Identifier
1497684146
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
74308 Issued in CA
Practice address
49 Cosmic CT Ste B
Copperopolis, CA 95228-9300
Phone
(209) 785-7774
NPI assigned
May 18, 2026
Last updated
Jun 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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 74308 CA Primary

Addresses

Primary practice location

49 Cosmic CT Ste B
Copperopolis, CA 95228-9300

Mailing address

49 Cosmic CT Ste B
Copperopolis, CA 95228-9300
Phone (209) 684-1956

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
74308CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1497684146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 COSMIC CT STE B",
            "city": "COPPEROPOLIS",
            "state": "CA",
            "postal_code": "952289300",
            "telephone_number": "209-684-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 COSMIC CT STE B",
            "city": "COPPEROPOLIS",
            "state": "CA",
            "postal_code": "952289300",
            "telephone_number": "209-785-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGQUIST",
        "first_name": "JACQUELYNE",
        "credential": "CMT#74308",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "74308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Copperopolis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.