Jazze James Green, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

R03686 Issued in MD

Practice address

5504 Plymouth Rd
Baltimore, MD 21214-1618

Phone

(443) 303-7160

NPI assigned

Dec 20, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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": "1703030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1831968775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5504 PLYMOUTH RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141618",
            "telephone_number": "443-303-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5504 PLYMOUTH RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141618",
            "telephone_number": "443-303-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JAZZE",
        "middle_name": "JAMES",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "R03686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Green, P.A.
• Elka Sara Green
• Gary Green, LCSW-C
• Gary B Green, M.D.
• J. Alex Green, LCPC,LCADC,NCC,NBCCH
• Jessica Green, AU.D
• Jonathan Russell Green, PA-C
• Karen Leah Green, CRNP-PMH
• Katrina Green
• Keauna Tyshema Green

• Massage Therapist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Massage Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.