Active NPI
Jenny L Nelson, LMT
- Massage Therapist
- Beaverton, OR
National Provider Identifier
1881990885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 8131
- Practice address
- 11365 SW Canyon Rd
Beaverton, OR 97005-2235 - Phone
- (503) 781-4324
- NPI assigned
- Feb 8, 2011
- 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 | 8131 | OR | Primary |
Addresses
Primary practice location
11365 SW Canyon Rd
Beaverton, OR 97005-2235
Mailing address
3404 19TH Ave
#218
Forest Grove, OR 97116-2030
Phone (503) 781-4324
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 |
|---|---|---|---|
| 8131 | OR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297123200000",
"number": "1881990885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3404 19TH AVE",
"address_2": "#218",
"city": "FOREST GROVE",
"state": "OR",
"postal_code": "971162030",
"telephone_number": "503-781-4324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11365 SW CANYON RD",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970052235",
"telephone_number": "503-781-4324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "JENNY",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-08",
"last_updated": "2011-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "8131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.