Active NPI
Hallie Nicole Jensen
- Massage Therapist
- Meridian, ID
National Provider Identifier
1588318828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 2985 S Meridian Rd Ste 140
Meridian, ID 83642-8051 - Phone
- (208) 901-4888
- NPI assigned
- Feb 7, 2022
- 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 | ID | Primary |
Addresses
Primary practice location
2985 S Meridian Rd Ste 140
Meridian, ID 83642-8051
Mailing address
2985 S Meridian Rd Ste 140
Meridian, ID 83642-8051
Phone (208) 901-4888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 801287622 | Other | SELECT HEALTH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@peakperformmassage.com | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673827200000",
"number": "1588318828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2985 S MERIDIAN RD STE 140",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836428051",
"telephone_number": "208-901-4888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2985 S MERIDIAN RD STE 140",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836428051",
"telephone_number": "208-901-4888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "HALLIE",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-07",
"last_updated": "2023-01-16",
"certification_date": "2023-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "ID",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT HEALTH",
"identifier": "801287622",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@peakperformmassage.com",
"affiliation": "N",
"endpointDescription": "secured work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "2985 S Meridian Rd Ste 140",
"city": "Meridian",
"state": "ID",
"country_code": "US",
"postal_code": "836428051",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.