Lamecia Lashay Jackson, LMT, CA

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT-07028 Issued in AZ

Practice address

530 N Estrella Pkwy
#0-1
Goodyear, AZ 85338

Phone

(623) 932-9211

NPI assigned

Aug 22, 2017

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

• Lamecia Jackson Former 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": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1659897593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 W THUNDERBIRD RD # B8216",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064654",
            "telephone_number": "623-203-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 N ESTRELLA PKWY",
            "address_2": "#0-1",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85338",
            "telephone_number": "623-932-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LAMECIA",
        "middle_name": "LASHAY",
        "credential": "LMT, CA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-22",
        "last_updated": "2023-01-26",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-07028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAMECIA",
            "last_name": "JACKSON",
            "credential": "LMT, CA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danielle Efosa Iyoha, PA-C
• Tatiana Ellen Jaacks, PA
• Courtney Jackson, MS
• Hayley Jackson, PA-C
• Katherine Jackson
• Shaylee Jackson
• Martina Lyn Jacobo
• Jacobs Ladder LLC
• Pamela Jacobs
• Anubhav Puttanniah Jagadish, MD

• Massage Therapist in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Massage Therapist in Arizona

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

Verify at the official NPI Registry.