Maranatha Jubilee, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

156553 Issued in AK

Practice address

645 N Jessica Brooke Cir Ste D
Wasilla, AK 99654-7333

Phone

(907) 414-8184

NPI assigned

Jul 29, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1104435650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 N JESSICA BROOKE CIR STE D",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547333",
            "telephone_number": "907-414-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 N JESSICA BROOKE CIR STE D",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547333",
            "telephone_number": "907-414-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUBILEE",
        "first_name": "MARANATHA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "156553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Wasilla",
            "affiliation": "N",
            "endpointDescription": "1700 W. Suburban Drive",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "645 N Jessica Brooke Cir Ste D",
            "city": "Wasilla",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996547333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Wasilla",
            "affiliation": "N",
            "endpointDescription": "Business loction",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "645 N Jessica Brooke Cir Ste D",
            "city": "Wasilla",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996547333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Wasilla",
            "affiliation": "N",
            "endpointDescription": "Office Location",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1700 W Suburban Dr",
            "city": "Wasilla",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996540906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Massage Therapist in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Massage Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.