Individual provider Active NPI

Jennifer Escalante

  • Massage Therapist
  • Pearl City, HI
National Provider Identifier
1922319987
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MAT 9472 Issued in HI
Practice address
379 Kamehameha Hwy
Suite E
Pearl City, HI 96782-3258
Phone
(808) 486-7567
Fax
(808) 486-7567
NPI assigned
Jun 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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 MAT 9472 HI Primary

Addresses

Primary practice location

379 Kamehameha Hwy
Suite E
Pearl City, HI 96782-3258

Mailing address

379 Kamehameha Hwy
Suite E
Pearl City, HI 96782-3258
Phone (808) 486-7567

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
MAT 9472HIMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1922319987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 KAMEHAMEHA HWY",
            "address_2": "SUITE E",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967823258",
            "telephone_number": "808-486-7567",
            "fax_number": "808-486-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 KAMEHAMEHA HWY",
            "address_2": "SUITE E",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967823258",
            "telephone_number": "808-486-7567",
            "fax_number": "808-486-7567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCALANTE",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-24",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "MAT 9472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl City, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.