Huiyan Fan, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

111720 Issued in AK

Practice address

404 K St
Anchorage, AK 99501-2016

Phone

(907) 350-6086

NPI assigned

Jun 2, 2022

Sex

Female

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

• Lisa Fan Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Snow Sparkles Spa, LLC

  • Massage Therapist
  • Anchorage, AK
  • NPI 1326700527
  NPD

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1023757457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 K ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995012016",
            "telephone_number": "907-350-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 K ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995012016",
            "telephone_number": "907-350-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAN",
        "first_name": "HUIYAN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "111720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "FAN",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Family Practice Associates LLC
• Family Sleep Clinics, LLC
• Family Vision Center
• Family Vision Center
• Family Vision Center South
• Kristie Fancher
• Fancy Moose Anchorage Alh
• Senerita Fanene
• Junlin Fang
• William James Fanning

• Massage Therapist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Massage Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.

Verify at the official NPI Registry.