NPIMap

Organization Active NPI

Everlasting Touch Therapy Services

  • Early Intervention Provider Agency
  • Atlanta, GA
National Provider Identifier
1679864433
Registry record updated Apr 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
EVERLASTING TOUCH THERAPY SERVICES
Practice address
3079 Colonial Way Apt a
Atlanta, GA 30341-5327
Phone
(504) 884-7575
Fax
(404) 228-4508
NPI assigned
Apr 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2011

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

Authorized official

Name
Mrs. Kimberly Jonell Jackson, B.S.
Title
Early Interventionist
Phone
(504) 884-7575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

3079 Colonial Way Apt a
Atlanta, GA 30341-5327

Mailing address

3079 Colonial Way Apt a
Atlanta, GA 30341-5327
Phone (504) 884-7575

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303948800000",
    "number": "1679864433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3079 COLONIAL WAY APT A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303415327",
            "telephone_number": "504-884-7575",
            "fax_number": "404-228-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3079 COLONIAL WAY APT A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303415327",
            "telephone_number": "504-884-7575",
            "fax_number": "404-228-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERLASTING TOUCH THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2011-04-28",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "JONELL",
        "authorized_official_title_or_position": "EARLY INTERVENTIONIST",
        "authorized_official_telephone_number": "504-884-7575",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; 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.