Individual provider Active NPI

Jennifer Michelle Sloan, L.M.T.

  • Massage Therapist
  • Sartell, MN
National Provider Identifier
1750989059
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
19652 Issued in CO
Practice address
161 19TH St S Ste 101
Sartell, MN 56377-2555
Phone
(320) 257-0360
NPI assigned
Oct 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 19652 CO Primary

Addresses

Primary practice location

161 19TH St S Ste 101
Sartell, MN 56377-2555

Mailing address

161 19TH St S Ste 101
Sartell, MN 56377-2555
Phone (320) 257-0360

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

LicenseStateTypeSpecialty
19652COMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jon M Anderson DC, LTD CurrentSince Oct 11, 2020 Accepting new patients

Locations

161 19th St S
Ste 101
Sartell, MN 56377
Phone (320) 253-0567

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1750989059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 19TH ST S STE 101",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772555",
            "telephone_number": "320-257-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 19TH ST S STE 101",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772555",
            "telephone_number": "320-257-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOAN",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "credential": "L.M.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-09",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "19652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sartell, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.