Tina Marie Jordan, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MM16481 Issued in FL

Practice address

4640 Lipscomb St NE
Suite 16
Palm Bay, FL 32905-2986

Phone

(321) 723-2340

Fax

(321) 723-3137

NPI assigned

Jul 29, 2011

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": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311897600000",
    "number": "1831477595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 LIPSCOMB ST NE",
            "address_2": "SUITE 16",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052986",
            "telephone_number": "321-723-2340",
            "fax_number": "321-723-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 LIPSCOMB ST NE",
            "address_2": "SUITE 16",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052986",
            "telephone_number": "321-723-2340",
            "fax_number": "321-723-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-29",
        "last_updated": "2011-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MM16481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Patrice Jones, D.M.D.
• Harmeka Adena Jones
• Sharon M Jones, PHD
• Shunta Denise Jones
• Shannon Jordan
• Nathalie Jordonne
• Iliana Trish Joseph
• Khadiyah Joseph
• Journeys Staffing Home Care Service LLC
• Joyce Williams

• Massage Therapist in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; 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.