JENNY SEPULVEDA (NPI# 1922656420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922656420 |
| Entity Type | Individual |
| Full Name | JENNY SEPULVEDA |
| Credential | L.M.B.T |
| Practice Address |
2325 Hanover Dr Monroe NC 28110-0450 |
| Practice Telephone | 7042824680 |
| Mailing Telephone | 7042824680 |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 04599 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2325 HANOVER DR |
| City | MONROE |
| State | NC |
| Zip Code | 28110-0450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679714521 | Carmen Lazenby | Massage Therapist | 2325 Hanover Dr, Monroe, NC 28110-0450 | 2009-03-23 |
| 1396219119 | Julia Freda Saunders | Massage Therapist | 2325 Hanover Dr, Monroe, NC 28110-0450 | 2019-01-15 |
| 1194265223 | Robin Haymond | Massage Therapist | 2325 Hanover Dr, Monroe, NC 28110-0450 | 2017-03-08 |
| 1033658737 | Massage At Monroe | Prevention Professional | 2325 Hanover Dr, Monroe, NC 28110-0450 | 2017-02-15 |
| 1376091207 | Kristen Michelle Deese | Massage Therapist | 2325 Hanover Dr, Monroe, NC 28110-0450 | 2016-09-20 |
| 1811348865 | Jessica Whitney Jenkins | Massage Therapist | 2325 Hanover Dr, Monroe, NC 28110-0450 | 2016-06-30 |
| 1386056653 | Ellen Victoria Brown | Massage Therapist | 2325 Hanover Dr, Monroe, NC 28110-0450 | 2014-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164987996 | Austin Drugs, Inc | Pharmacy | 3513 Suite B Highway 74 E, Monroe, NC 28110 | 2019-02-06 |
| 1366922353 | First Choice Supply, Inc | Clinic/Center | 2909 Waycross Dr, Monroe, NC 28110 | 2018-08-19 |
| 1235616491 | Joshua Gibbons | Physical Therapist | 1999 Wellness Blvd., Suite 220, Monroe, NC 28110 | 2018-07-20 |
| 1508356940 | Latoya I Sheppard | Prosthetist | 1643 Hilton Meadow Dr, Monroe, NC 28110 | 2018-05-11 |
| 1598266546 | Healthstat Onsite Clinic Conmet Monroe 1 | Preventive Medicine | 780 Patterson Avenue, Monroe, NC 28110 | 2018-02-26 |
| 1801397864 | Healthstat Onsite Con Met Monroe 2 | Preventive Medicine | 4515 Corporate Center Drive, Monroe, NC 28110 | 2018-02-26 |
| 1366969834 | Megan Thomas | Nurse Practitioner | 5708 Concord Hwy, Monroe, NC 28110 | 2017-08-25 |
| 1619385168 | Dillon Byrum | Specialist/Technologist | 28110 Eagle View Lane, Monroe, NC 28110 | 2014-07-29 |
| 1932545266 | Shane Markey | Dentist | 2258 W. Roosevelt Blvd, Suite A Dentistry of The Carolinas, Monroe, NC 28110 | 2013-05-14 |
| 1952648644 | Rolanda Johnson Abney | Social Worker | 2661 W Roosevelt Blvd Ste 107, Monroe, NC 28110 | 2013-01-15 |
| Find all providers in zip 28110 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376141994 | Jonathan D Thompson | Massage Therapist | 215 N Hayne St, Monroe, NC 28112-4856 | 2020-10-15 |
| 1811558505 | Allison R Rykse | Massage Therapist | 1358 Hollywood Dr, Monroe, MI 48162-3024 | 2019-06-24 |
| 1336604792 | Christopher Ehrman | Massage Therapist | 808 N 31st St Ste D, Monroe, LA 71201-3942 | 2019-02-09 |
| 1114482080 | Nicole Cutting Louie | Massage Therapist | 24990 Orchard Tract Rd, Monroe, OR 97456-8413 | 2019-02-05 |
| 1558830448 | Lilith Macgregor Deveigh Krueger | Massage Therapist | 118 N Lewis St Ste 111, Monroe, WA 98272-1516 | 2018-11-20 |
| 1780175885 | Sky Valley Wellness, LLC | Massage Therapist | 14751 N Kelsey St Ste 110, Monroe, WA 98272-1457 | 2018-05-24 |
| 1700397452 | Meagen Michelle Mckelvey | Massage Therapist | 1129 W Main St Ste 172, Monroe, WA 98272-2034 | 2017-10-21 |
| 1033637749 | Margaret Griffin | Massage Therapist | 16405 234th St Se, Monroe, WA 98272-9827 | 2017-09-01 |
| 1437685740 | Holly Cramner | Massage Therapist | 111 E 1st St Ste 500, Monroe, MI 48161-2265 | 2017-05-05 |
| 1558806109 | Michelle Stupay | Massage Therapist | 261 E Fremont St, Monroe, WA 98272-2335 | 2017-01-05 |
| Find all providers in MONROE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.