Active NPI
Jennifer Diane Cundy, LMT
- Massage Therapist
- Missoula, MT
National Provider Identifier
1932617099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 357
- Practice address
- 615 Oak St Ste 101
Missoula, MT 59801-2469 - Phone
- (406) 570-8175
- NPI assigned
- Jan 11, 2018
- Last updated
- Jan 11, 2018
- 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 | 357 | MT | Primary |
Addresses
Primary practice location
615 Oak St Ste 101
Missoula, MT 59801-2469
Mailing address
1726 S 11TH St W
Missoula, MT 59801-4836
Phone (406) 570-8175
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 |
|---|---|---|---|
| 357 | MT | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515628800000",
"number": "1932617099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1726 S 11TH ST W",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598014836",
"telephone_number": "406-570-8175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 OAK ST STE 101",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598012469",
"telephone_number": "406-570-8175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNDY",
"first_name": "JENNIFER",
"middle_name": "DIANE",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-11",
"last_updated": "2018-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MT",
"license": "357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.