Active NPI
Shailey Tripp, LMT, CMT, REIKI II
- Massage Therapist
- Wasilla, AK
National Provider Identifier
1114191509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 314200
- Practice address
- 5800 E Columbus Way
Ste 2 & 3
Wasilla, AK 99654-7895 - Phone
- (907) 373-3329
- NPI assigned
- Apr 16, 2008
- Last updated
- Apr 16, 2008
- 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 | 314200 | AK | Primary |
Addresses
Primary practice location
5800 E Columbus Way
Ste 2 & 3
Wasilla, AK 99654-7895
Mailing address
305 N Valley Way
Apt E 1
Palmer, AK 99645
Phone (907) 775-3235
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 |
|---|---|---|---|
| 314200 | AK | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208304000000",
"number": "1114191509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 N VALLEY WAY",
"address_2": "APT E 1",
"city": "PALMER",
"state": "AK",
"postal_code": "99645",
"telephone_number": "907-775-3235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 E COLUMBUS WAY",
"address_2": "STE 2 & 3",
"city": "WASILLA",
"state": "AK",
"postal_code": "996547895",
"telephone_number": "907-373-3329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIPP",
"first_name": "SHAILEY",
"name_prefix": "Prof.",
"credential": "LMT, CMT, REIKI II",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-16",
"last_updated": "2008-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AK",
"license": "314200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.