Jaiyen Spa

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

JAIYEN SPA

Practice address

868 Gravenstein Hwy N
Sebastopol, CA 95472-2846

Phone

(707) 861-3562

NPI assigned

Oct 31, 2024

Organization subpart

No

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

Authorized official

Name

Nina Ellen Converse

Title

Manager

Phone

(707) 237-4495

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1720801558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "868 GRAVENSTEIN HWY N",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954722846",
            "telephone_number": "707-861-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "868 GRAVENSTEIN HWY N",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954722846",
            "telephone_number": "707-861-3562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIYEN SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "CONVERSE",
        "authorized_official_first_name": "NINA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "707-237-4495"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ella Jackson, LMFT
• Joy Jaco, LMFT
• Brian Paul Jacobs, LCSW
• Marsha Wolfe Jacobs, MFT
• Samantha Marie Jacobs, M.S.P.T.
• James F Yusuf Q Erskine DO Inc
• Eun Sub Jang, D. D. S.
• Barbara Anne Jason, PHARMACY TECHNICIAN
• Elizabeth Marie Jimenez, LCSW
• Angelica Roseria Jochim, MFT

• Massage Therapist in Sebastopol, CA
• Providers in Sebastopol, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.