Jan Lee Bivins, MASSAGE THERAPIST

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT027544 Issued in TX

Practice address

322 N Texas Ave Ste 2
Odessa, TX 79761-5184

Phone

(432) 352-4570

NPI assigned

Sep 9, 2013

Last updated

Sep 9, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1780019869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5514 W MILES ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797639000",
            "telephone_number": "432-352-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 N TEXAS AVE STE 2",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615184",
            "telephone_number": "432-352-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIVINS",
        "first_name": "JAN",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-09",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT027544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rehan N Billoo, MD
• Bio-Medical Applications of Texas, Inc. (Bma Odessa)
• Bio-Medical Applications of Texas, Inc. (Fresenius Medical Care Desert Milagro Dialysis Center)
• Emanuel Bippus, PHARMD
• Joshua Aaron Bishop, P.T.
• Jessica Fields Bizzell
• Allie Christine Black, PA-C
• Jorge D Blanco, M.D.
• Bliss Dental PLLC (Bliss Dental and Orthodontics)
• Blue Hearts Home Health Agency

• Massage Therapist in Odessa, TX
• Providers in Odessa, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.