Guadalupe Jessica Roberts, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA68383 Issued in FL

Practice address

5841 S Congress Ave
Atlantis, FL 33462-1347

Phone

(561) 214-9217

NPI assigned

May 26, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Roberts Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1619356532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 VILLAGE BLVD APT 1826",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334092793",
            "telephone_number": "561-714-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 S CONGRESS AVE",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621347",
            "telephone_number": "561-214-9217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "GUADALUPE",
        "middle_name": "JESSICA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA68383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "ROBERTS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Yasmina Richa
• Kenneth Michael Richer II, MD
• Gary M Richman, M.D.
• Suzanne Ilene Riskin, M.D.
• Collette Danielle Robbins
• Carlos J Rodriguez, ARNP
• Jonathan Joseph Roland, MD
• Natali V Rolfe, MD
• Aleena Marie Rorapaugh, CRNA
• Erica Rosa, APRN

• Massage Therapist in Atlantis, FL
• Providers in Atlantis, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.