Active NPI
Jackie Lorraine Quick
- Massage Therapist
- Laurinburg, NC
National Provider Identifier
1700467131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 15747
- Practice address
- 506 Everett St
Laurinburg, NC 28352-3731 - Phone
- (336) 389-8989
- NPI assigned
- Apr 17, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | |||
| Massage Therapist | 225700000X | 15747 | NC | Primary |
Addresses
Primary practice location
506 Everett St
Laurinburg, NC 28352-3731
Mailing address
506 Everett St
Laurinburg, NC 28352-3731
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1919703 | Other | AMTA |
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": "1618617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618617600000",
"number": "1700467131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 EVERETT ST",
"city": "LAURINBURG",
"state": "NC",
"postal_code": "283523731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 EVERETT ST",
"city": "LAURINBURG",
"state": "NC",
"postal_code": "283523731",
"telephone_number": "336-389-8989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUICK",
"first_name": "JACKIE",
"middle_name": "LORRAINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-17",
"last_updated": "2021-04-17",
"certification_date": "2021-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "15747",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMTA",
"identifier": "1919703",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Laurinburg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.