Active NPI
Jacqueline White
- Massage Therapist
- Lewisville, TX
National Provider Identifier
1700556768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 135542
- Practice address
- 475 SH 121 Bypass #200
Suite #22
Lewisville, TX 75067 - Phone
- (469) 496-1067
- NPI assigned
- Sep 20, 2021
- Last updated
- Sep 20, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 135542 | TX | Primary |
Addresses
Primary practice location
475 SH 121 Bypass #200
Suite #22
Lewisville, TX 75067
Mailing address
146 Valley View Dr Apt 112
Lewisville, TX 75067-7795
Phone (469) 496-1067
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 |
|---|---|---|---|
| 135542 | TX | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632096000000",
"number": "1700556768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 VALLEY VIEW DR APT 112",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750677795",
"telephone_number": "469-496-1067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 SH 121 BYPASS #200",
"address_2": "SUITE #22",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "75067",
"telephone_number": "469-496-1067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "JACQUELINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-20",
"last_updated": "2021-09-20",
"certification_date": "2021-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "135542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.