Individual provider Active NPI

Jayne Alfreda Newcomb, LMT

  • Massage Therapist
  • Bloomington, MN
National Provider Identifier
1811120637
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
5001 American Blvd W Ste 945
Bloomington, MN 55437-1162
Phone
(952) 835-6653
Fax
(952) 835-3895
NPI assigned
Aug 27, 2009
Last updated
Aug 27, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

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 MN Primary

Addresses

Primary practice location

5001 American Blvd W Ste 945
Bloomington, MN 55437-1162

Mailing address

5001 American Blvd W Ste 945
Bloomington, MN 55437-1162
Phone (952) 835-6653

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

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251331200000",
    "number": "1811120637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 AMERICAN BLVD W STE 945",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554371162",
            "telephone_number": "952-835-6653",
            "fax_number": "952-835-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 AMERICAN BLVD W STE 945",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554371162",
            "telephone_number": "952-835-6653",
            "fax_number": "952-835-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWCOMB",
        "first_name": "JAYNE",
        "middle_name": "ALFREDA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.