Active NPI
Jazmine Craig, LMT
- Massage Therapist
- Glendale, CA
National Provider Identifier
1972060697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 2518 Canada Blvd Apt C
Glendale, CA 91208-2086 - Phone
- (415) 470-1003
- NPI assigned
- Feb 28, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Primary | ||
| Rehabilitation Practitioner | 225400000X |
Addresses
Primary practice location
2518 Canada Blvd Apt C
Glendale, CA 91208-2086
Mailing address
2518 Canada Blvd Apt C
Glendale, CA 91208-2086
Phone (415) 470-1003
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665619200000",
"number": "1972060697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2518 CANADA BLVD APT C",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912082086",
"telephone_number": "415-470-1003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2518 CANADA BLVD APT C",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912082086",
"telephone_number": "415-470-1003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIG",
"first_name": "JAZMINE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-28",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.