Active NPI
Jessica Marie Cloughly, LMT
- Massage Therapist
- Mission, KS
National Provider Identifier
1508575572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 6556 Johnson Dr
Mission, KS 66202-2615 - Phone
- (913) 432-4780
- NPI assigned
- Nov 18, 2022
- Last updated
- Nov 18, 2022
- 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 | Primary |
Addresses
Primary practice location
6556 Johnson Dr
Mission, KS 66202-2615
Mailing address
1818 NE Vivion Rd
Kansas City, MO 64118-6141
Phone (816) 933-8070
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mission Chiropractic LLC | Multi-Specialty | Current | Accepting new patients |
Locations
6556 Johnson Dr
Mission, KS 66202
Phone (913) 432-4780
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": "1668729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668729600000",
"number": "1508575572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1818 NE VIVION RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641186141",
"telephone_number": "816-933-8070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6556 JOHNSON DR",
"city": "MISSION",
"state": "KS",
"postal_code": "662022615",
"telephone_number": "913-432-4780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOUGHLY",
"first_name": "JESSICA",
"middle_name": "MARIE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-18",
"last_updated": "2022-11-18",
"certification_date": "2022-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mission, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.