Individual provider Active NPI

Meranda Blanchard, L.M.T.

  • Massage Therapist
  • Wasilla, AK
National Provider Identifier
1003203217
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
101451 Issued in AK
Practice address
700 E Railroad Ave Ste 1
Wasilla, AK 99654-8136
Phone
(907) 357-9079
NPI assigned
Apr 26, 2015
Last updated
Jan 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 101451 AK Primary

Addresses

Primary practice location

700 E Railroad Ave Ste 1
Wasilla, AK 99654-8136

Mailing address

PO Box 875263
Wasilla, AK 99687-5263
Phone (907) 947-7258

Other practice location 1

951 E Bogard Rd Ste 103
Wasilla, AK 99654
Phone (907) 947-7258

Other practice location 2

1301 W Parks Hwy Ste 205
Wasilla, AK 99654-6939
Phone (907) 947-7258

Other practice location 3

2401 Tagalak Dr # 2
Anchorage, AK 99504-3419
Phone (907) 947-7255

Other practice location 4

2401 Tagalak Dr # 2
Anchorage, AK 99504-3419
Phone (907) 947-7255

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

LicenseStateTypeSpecialty
101451AKMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Body Kneads Spa and Salon Massage Therapist CurrentSince Oct 2, 2022 Accepting new patients

Locations

700 E Railroad Ave
#1
Wasilla, AK 99654
Phone (907) 357-9079

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1430006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1003203217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 875263",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996875263",
            "telephone_number": "907-947-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E RAILROAD AVE STE 1",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548136",
            "telephone_number": "907-357-9079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "951 E Bogard Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "99654",
            "country_code": "US",
            "telephone_number": "907-947-7258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 W Parks Hwy Ste 205",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996546939",
            "country_code": "US",
            "telephone_number": "907-947-7258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2401 Tagalak Dr # 2",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995043419",
            "country_code": "US",
            "telephone_number": "907-947-7255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2401 Tagalak Dr # 2",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995043419",
            "country_code": "US",
            "telephone_number": "907-947-7255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "MERANDA",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-26",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "101451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.