Individual provider Active NPI

Alana Stickney McClure, LMT

  • Massage Therapist
  • Fairbanks, AK
National Provider Identifier
1124857479
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
225964 Issued in AK
Practice address
1118 2ND Ave
Fairbanks, AK 99701-4228
Phone
(907) 456-6213
NPI assigned
Jul 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 225964 AK Primary

Addresses

Primary practice location

1118 2ND Ave
Fairbanks, AK 99701-4228

Mailing address

2350 Lichen Way
Fairbanks, AK 99709-6491
Phone (415) 419-1073

Other practice location 1

376 Layla Ct
Fairbanks, AK 99712-1441
Phone (907) 456-1571

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

LicenseStateTypeSpecialty
225964AKMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fairbanks Chiropractic Clinic, Incorporated Single Specialty CurrentSince Jan 12, 2025 Accepting new patients
Woodland Wellness Center, Inc. Single Specialty PastSince Jun 9, 2014 Accepting new patients
Obfc LLC Single Specialty PastSince Dec 9, 2019 Accepting new patients

Locations

1118 2nd Ave
Fairbanks, AK 99701
Phone (907) 456-6213

Organizations & group practices 3

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": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1124857479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 LICHEN WAY",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997096491",
            "telephone_number": "415-419-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 2ND AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014228",
            "telephone_number": "907-456-6213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "376 Layla Ct",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997121441",
            "country_code": "US",
            "telephone_number": "907-456-1571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "ALANA",
        "middle_name": "STICKNEY",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "225964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.