Active NPI
Jessica Lynn Yanez
- Massage Therapist
- Del Rio, TX
National Provider Identifier
1750276648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT107578
- Practice address
- 604 E Garza St
Del Rio, TX 78840-7206 - Phone
- (210) 765-8682
- NPI assigned
- Jun 11, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 17557 | TX | |
| Massage Therapist | 225700000X | MT107578 | TX | Primary |
Addresses
Primary practice location
604 E Garza St
Del Rio, TX 78840-7206
Mailing address
604 E Garza St
Del Rio, TX 78840-7206
Phone (830) 461-4920
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 |
|---|---|---|---|
| 17557 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| MT107578 | TX | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749600000000",
"number": "1750276648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 E GARZA ST",
"city": "DEL RIO",
"state": "TX",
"postal_code": "788407206",
"telephone_number": "830-461-4920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 E GARZA ST",
"city": "DEL RIO",
"state": "TX",
"postal_code": "788407206",
"telephone_number": "210-765-8682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANEZ",
"first_name": "JESSICA",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-11",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "TX",
"license": "17557",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT107578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Del Rio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.