Organization Active NPI

Jill L.Nave, LMT

  • Specialist
  • Tigard, OR
National Provider Identifier
1750732772
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
5153 Issued in OR
Legal business name
JILL L.NAVE, LMT
Practice address
12005 SW 70TH Ave
Tigard, OR 97223-9634
Phone
(503) 515-1346
NPI assigned
Jun 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Authorized official

Name
Ms. Jill Louise Nave, LMTNPI 1326225426
Title
Lead Massage Therapist
Phone
(503) 515-1346

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 5153 OR Primary

Addresses

Primary practice location

12005 SW 70TH Ave
Tigard, OR 97223-9634

Mailing address

15653 SW 87TH Ave
Tigard, OR 97224-5412
Phone (503) 515-1346

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1750732772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15653 SW 87TH AVE",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972245412",
            "telephone_number": "503-515-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12005 SW 70TH AVE",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972239634",
            "telephone_number": "503-515-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL L.NAVE, LMT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "NAVE",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "LEAD MASSAGE THERAPIST",
        "authorized_official_telephone_number": "503-515-1346",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "5153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.