Edtisham Ancheta, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

181533 Issued in AK

Practice address

3330 Eagle St
Anchorage, AK 99503-4146

Phone

(907) 561-2330

NPI assigned

Dec 29, 2023

Last updated

Dec 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Natural Health Center LLC

  dba Natural Health Center

  • Naturopath
  • Anchorage, AK
  • NPI 1225303019

  Massage Therapist

  NPD (past)

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1093584245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 E 78TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995183126",
            "telephone_number": "714-398-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 EAGLE ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034146",
            "telephone_number": "907-561-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANCHETA",
        "first_name": "EDTISHAM",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-29",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "74850",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "181533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sage An
• Colleen D Anagick, LCSW
• Anak Limited (Abvi / Executive Suite Hotel)
• Alice Jinkyung Anama, DMD
• Tina Marie Anaya
• Anchor Eruption Enterprises LLC (Algone Anchorage Interventional Pain)
• Anchor House
• Anchor House Inc
• Anchor Point Care Coordination Incorporated
• Anchor Town Counseling, LLC

• 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 Dec 29, 2023; 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.