Active NPI
Jamie Daniel Mersino, LMT
- Massage Therapist
- Marshall, TX
National Provider Identifier
1750605713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT106770
- Practice address
- 612 S Grove St
Marshall, TX 75670-5219 - Phone
- (903) 927-6658
- NPI assigned
- Mar 19, 2010
- Last updated
- Mar 19, 2010
- 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 | MT106770 | TX | Primary |
Addresses
Primary practice location
612 S Grove St
Marshall, TX 75670-5219
Mailing address
204 Furrh St
612 S Grove
Marshall, TX 75672-2328
Phone (903) 927-6658
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 |
|---|---|---|---|
| MT106770 | TX | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268956800000",
"number": "1750605713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 FURRH ST",
"address_2": "612 S GROVE",
"city": "MARSHALL",
"state": "TX",
"postal_code": "756722328",
"telephone_number": "903-927-6658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 S GROVE ST",
"city": "MARSHALL",
"state": "TX",
"postal_code": "756705219",
"telephone_number": "903-927-6658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERSINO",
"first_name": "JAMIE",
"middle_name": "DANIEL",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-19",
"last_updated": "2010-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT106770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marshall, TX
- McCrae Management and Investments, LTD (NewSound Hearing Aid Centers)
- Keitha Latonya McGlothin
- Tommie Jo McKinney, QMHP-CS
- Sreenath Reddy Meegada, MD
- Melicare Inc (National Homecare Services)
- Jeannette Miles, CSSP-CS
- Amy E Miller, LPC
- Odette Mohamed-Santa, MD
- Lindsey Montgomery, LCSW
- Morning Light, Inc. of Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.