Active NPI
Jessica Nicole Gulovsen, LMT
- Massage Therapist
- Eugene, OR
National Provider Identifier
1508134214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 13966
- Practice address
- 598 E 13TH Ave
Suite B
Eugene, OR 97401-4783 - Phone
- (541) 762-1777
- NPI assigned
- Dec 8, 2011
- Last updated
- Dec 8, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 13966 | OR | Primary |
Addresses
Primary practice location
598 E 13TH Ave
Suite B
Eugene, OR 97401-4783
Mailing address
690 54TH St
Springfield, OR 97478-6136
Phone (541) 510-1101
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 |
|---|---|---|---|
| 13966 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamed Madani DC PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323302400000",
"number": "1508134214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "690 54TH ST",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974786136",
"telephone_number": "541-510-1101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "598 E 13TH AVE",
"address_2": "SUITE B",
"city": "EUGENE",
"state": "OR",
"postal_code": "974014783",
"telephone_number": "541-762-1777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULOVSEN",
"first_name": "JESSICA",
"middle_name": "NICOLE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-08",
"last_updated": "2011-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "13966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.