Active NPI
Krystal Jennings
- Massage Therapist
- Winston Salem, NC
National Provider Identifier
1740160993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 03781
- Practice address
- 1 Medical Center Boulevard
Winston Salem, NC 27157-0001 - Phone
- (336) 713-3076
- NPI assigned
- Sep 6, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 03781 | NC | Primary |
Addresses
Primary practice location
1 Medical Center Boulevard
Winston Salem, NC 27157-0001
Mailing address
1 Medical Center Boulevard
Winston Salem, NC 27157-0001
Phone (336) 713-3076
Other practice location 1
4319 Andrew James Dr
Charlotte, NC 28216-6720
Phone (678) 908-2078
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 |
|---|---|---|---|
| 03781 | NC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757116800000",
"number": "1740160993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER BOULEVARD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271570001",
"telephone_number": "336-713-3076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER BOULEVARD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271570001",
"telephone_number": "336-713-3076"
}
],
"practiceLocations": [
{
"address_1": "4319 Andrew James Dr",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282166720",
"country_code": "US",
"telephone_number": "678-908-2078",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JENNINGS",
"first_name": "KRYSTAL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-06",
"last_updated": "2025-09-06",
"certification_date": "2025-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "03781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.