Individual provider Active NPI

Deborah Jaouen, LMT,

  • Massage Therapist
  • Glenwood Springs, CO
National Provider Identifier
1720528177
Registry record updated Mar 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
0003441 Issued in CO
Practice address
410 20TH St
Suite #204
Glenwood Springs, CO 81601-4271
Phone
(970) 930-0088
NPI assigned
Mar 5, 2017
Last updated
Mar 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 0003441 CO Primary

Addresses

Primary practice location

410 20TH St
Suite #204
Glenwood Springs, CO 81601-4271

Mailing address

327 Park Dr
Glenwood Springs, CO 81601-4137
Phone (970) 930-0088

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

LicenseStateTypeSpecialty
0003441COMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1488672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488672000000",
    "number": "1720528177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 PARK DR",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014137",
            "telephone_number": "970-930-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 20TH ST",
            "address_2": "SUITE #204",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014271",
            "telephone_number": "970-930-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAOUEN",
        "first_name": "DEBORAH",
        "name_prefix": "Mrs.",
        "credential": "LMT,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-05",
        "last_updated": "2017-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "0003441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2017; 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.