Jasen E. Dippel, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

19336 Issued in NC

Practice address

807 W Corbett Ave Ste 8
Swansboro, NC 28584-9039

Phone

(910) 325-3600

NPI assigned

May 22, 2023

Last updated

May 22, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jasen Hum Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1972295806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 HOLLY ST # 234",
            "city": "HOLLY RIDGE",
            "state": "NC",
            "postal_code": "284457879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 W CORBETT AVE STE 8",
            "city": "SWANSBORO",
            "state": "NC",
            "postal_code": "285849039",
            "telephone_number": "910-325-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPPEL",
        "first_name": "JASEN",
        "middle_name": "E.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "19336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASEN",
            "last_name": "HUM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Crystal Coast Counseling, PLLC
• Tiffany Cutrone, LCMHC, LPC, LCAS
• CVC Home Medical, Inc.
• Jennifer Bennett Davis, ICCE-CD
• Jacqueline Devar, LPC
• Katie Marie Drexler
• Emergeortho, PA
• Eyecarecenter OD PA
• Margaret Fair, LCSW
• Niamh Lisa Fitzpatrick, LCSWA

• Massage Therapist in Swansboro, NC
• Providers in Swansboro, NC by specialty
• Massage Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.