Individual provider Active NPI

Stephanie Dawn Cabeza, LMT

  • Massage Therapist
  • Eagle River, AK
National Provider Identifier
1043936677
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
194093 Issued in AK
Practice address
10421 VFW Rd
Eagle River, AK 99577-8075
Phone
(907) 694-1285
NPI assigned
Oct 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 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 194093 AK Primary

Addresses

Primary practice location

10421 VFW Rd
Eagle River, AK 99577-8075

Mailing address

11142 Mausel St Unit a
Eagle River, AK 99577-8097
Phone (214) 298-4778

Other names 1

  • Miss Stephanie Dawn Powers Former name

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
194093AKMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Chiropractic and Therapy PC PastSince Jun 1, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1043936677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11142 MAUSEL ST UNIT A",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778097",
            "telephone_number": "214-298-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10421 VFW RD",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778075",
            "telephone_number": "907-694-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABEZA",
        "first_name": "STEPHANIE",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "194093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "POWERS",
            "middle_name": "DAWN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eagle River, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.