Individual provider Active NPI

Nadine Jankowski, LMT, LPN

  • Massage Therapist
  • Parma, OH
National Provider Identifier
1558609891
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
33-010596 Issued in OH
Practice address
5788 Ridge Rd
Suite 2
Parma, OH 44129-3162
Phone
(440) 882-6985
Fax
(440) 882-6702
NPI assigned
Jan 22, 2013
Last updated
Jan 22, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 151251 OH
Massage Therapist 225700000X 33-010596 OH Primary

Addresses

Primary practice location

5788 Ridge Rd
Suite 2
Parma, OH 44129-3162

Mailing address

5788 Ridge Rd
Suite 2
Parma, OH 44129-3162
Phone (440) 882-6985

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
151251OHMDLicensed Practical Nurse
33-010596OHMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1558609891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5788 RIDGE RD",
            "address_2": "SUITE 2",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441293162",
            "telephone_number": "440-882-6985",
            "fax_number": "440-882-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5788 RIDGE RD",
            "address_2": "SUITE 2",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441293162",
            "telephone_number": "440-882-6985",
            "fax_number": "440-882-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANKOWSKI",
        "first_name": "NADINE",
        "credential": "LMT, LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-22",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "151251",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33-010596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.