Active NPI
Stephanie Dawn Cabeza, LMT
- Massage Therapist
- Eagle River, AK
National Provider Identifier
1043936677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 194093
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 194093 | AK | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alaska Chiropractic and Therapy PC | Past | 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.
-
- Chiropractor
- Eagle River, AK
- NPI 1770692493
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.