Active NPI
Virginia Kathryn Norris, LMT
- Massage Therapist
- Anchorage, AK
National Provider Identifier
1104325968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 111003
- Practice address
- 1310 E Dimond Blvd Ste 2
Anchorage, AK 99515-2031 - Phone
- (907) 677-6345
- NPI assigned
- Feb 7, 2018
- Last updated
- Feb 7, 2018
- 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 | 111003 | AK | Primary |
Addresses
Primary practice location
1310 E Dimond Blvd Ste 2
Anchorage, AK 99515-2031
Mailing address
PO Box 483
Hoonah, AK 99829-0483
Phone (907) 209-9597
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 |
|---|---|---|---|
| 111003 | AK | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tieszen Chiropractic LLC | Single Specialty | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517961600000",
"number": "1104325968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 483",
"city": "HOONAH",
"state": "AK",
"postal_code": "998290483",
"telephone_number": "907-209-9597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 E DIMOND BLVD STE 2",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995152031",
"telephone_number": "907-677-6345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORRIS",
"first_name": "VIRGINIA",
"middle_name": "KATHRYN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-07",
"last_updated": "2018-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AK",
"license": "111003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.