Active NPI
Jill D Even, LMT, CNMT
- Massage Therapist
- Pueblo, CO
National Provider Identifier
1801008867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0006650
- Practice address
- 407 Fortino Blvd
Suite D
Pueblo, CO 81008-2620 - Phone
- (719) 205-1645
- NPI assigned
- May 4, 2007
- 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 | 0006650 | CO | Primary |
Addresses
Primary practice location
407 Fortino Blvd
Suite D
Pueblo, CO 81008-2620
Mailing address
704 Fortino Blvd Ste D
Pueblo, CO 81008-2087
Phone (719) 205-1645
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 |
|---|---|---|---|
| 0006650 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736985600000",
"number": "1801008867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 FORTINO BLVD STE D",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810082087",
"telephone_number": "719-205-1645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 FORTINO BLVD",
"address_2": "SUITE D",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810082620",
"telephone_number": "719-205-1645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVEN",
"first_name": "JILL",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "LMT, CNMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2025-01-16",
"certification_date": "2025-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "0006650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.