Individual provider Active NPI

Kirsten Lin Danzer, LMT

  • Massage Therapist
  • Wasilla, AK
National Provider Identifier
1043739253
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
112919 Issued in AK
Practice address
5461 E Mayflower LN Ste 6
Wasilla, AK 99654-7892
Phone
(907) 357-6688
Fax
(907) 357-9655
NPI assigned
Sep 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 112919 AK Primary

Addresses

Primary practice location

5461 E Mayflower LN Ste 6
Wasilla, AK 99654-7892

Mailing address

5461 E Mayflower LN Ste 6
Wasilla, AK 99654-7892
Phone (907) 357-6688

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
112919AKMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blaine Upham DC PC CurrentSince Jul 24, 2022 Accepting new patients
Mountain View Chiropractic PastSince Jul 24, 2022 Accepting new patients

Locations

5461 E Mayflower Ln
Ste 6
Wasilla, AK 99654
Phone (907) 355-6688

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1043739253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5461 E MAYFLOWER LN STE 6",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547892",
            "telephone_number": "907-357-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5461 E MAYFLOWER LN STE 6",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547892",
            "telephone_number": "907-357-6688",
            "fax_number": "907-357-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANZER",
        "first_name": "KIRSTEN",
        "middle_name": "LIN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "112919",
            "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 Jul 21, 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.