Individual provider Active NPI

Jennifer Ackland

  • Massage Therapist
  • Colorado Springs, CO
National Provider Identifier
1801268685
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT.0016747 Issued in CO
Practice address
4510 Shadowglen Dr
Colorado Springs, CO 80918-4237
Phone
(719) 930-7671
NPI assigned
Oct 20, 2015
Last updated
Oct 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

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 MT.0016747 CO Primary

Addresses

Primary practice location

4510 Shadowglen Dr
Colorado Springs, CO 80918-4237

Mailing address

5180 N Union Blvd
205
Colorado Springs, CO 80918-2000
Phone (719) 830-7671

Other names 1

  • Jennifer Ackland Professional name

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
MT.0016747COMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1801268685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5180 N UNION BLVD",
            "address_2": "205",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809182000",
            "telephone_number": "719-830-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 SHADOWGLEN DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184237",
            "telephone_number": "719-930-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKLAND",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0016747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "ACKLAND",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.