Massage by Jana, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

2759 Issued in LA

Legal business name

MASSAGE BY JANA, LLC

Practice address

3834 Independence Dr
Alexandria, LA 71303-3533

Phone

(318) 487-0960

Fax

(318) 487-2002

NPI assigned

Feb 12, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Jana K Tidwell, LMT

Title

Owner

Phone

(318) 729-0278

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518393600000",
    "number": "1942709324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3834 INDEPENDENCE DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033533",
            "telephone_number": "318-487-0960",
            "fax_number": "318-487-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3834 INDEPENDENCE DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033533",
            "telephone_number": "318-487-0960",
            "fax_number": "318-487-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAGE BY JANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-02-12",
        "status": "A",
        "authorized_official_last_name": "TIDWELL",
        "authorized_official_first_name": "JANA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-729-0278",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "LA",
            "license": "2759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-INDIVIDUAL PROVIDER",
            "identifier": "1831606664",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMT NUMBER",
            "identifier": "2759",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary'S Healthcare Ministries, LLC
• Michael Jude Marzullo, MD
• Robin Mashaw
• Melanie Anne Mashburn, RN
• Wakanda Mason, APRN, PMHNP-BC
• Adrienne Mathes, LPN
• Latessa Mathews
• Patricia H Mathews, PT
• Patrick Cecil Mathews, D.D.S.
• Ke'Nesha Sophia Nicole Mattocks

• Massage Therapist in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Massage Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.

Verify at the official NPI Registry.