Active NPI
Jill Marie Richardson, MASSAGE MAT 5245
- Massage Therapist
- Kapaa, HI
National Provider Identifier
1598522369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 5245
- Practice address
- 4569 Kukui St Ste 201
Kapaa, HI 96746-1775 - Phone
- (808) 651-0717
- NPI assigned
- Feb 28, 2024
- 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 | 5245 | HI | Primary |
Addresses
Primary practice location
4569 Kukui St Ste 201
Kapaa, HI 96746-1775
Mailing address
7210 Kahuna Rd # N
Kapaa, HI 96746-9027
Phone (808) 651-0717
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 |
|---|---|---|---|
| 5245 | HI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1598522369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7210 KAHUNA RD # N",
"city": "KAPAA",
"state": "HI",
"postal_code": "967469027",
"telephone_number": "808-651-0717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4569 KUKUI ST STE 201",
"city": "KAPAA",
"state": "HI",
"postal_code": "967461775",
"telephone_number": "808-651-0717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "JILL",
"middle_name": "MARIE",
"credential": "MASSAGE MAT 5245",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-28",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "HI",
"license": "5245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kapaa, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.