Active NPI
Starla Kay Brewer, LMT
- Massage Therapist
- Nome, AK
National Provider Identifier
1144748245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 101612
- Practice address
- 113 W Front St Ste 102
Nome, AK 99762-9800 - Phone
- (907) 443-7477
- Fax
- (907) 443-7487
- NPI assigned
- Sep 8, 2017
- Last updated
- Sep 8, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 101612 | AK | Primary |
Addresses
Primary practice location
113 W Front St Ste 102
Nome, AK 99762-9800
Mailing address
1150 S Colony Way
Ste 3, PMB 226
Palmer, AK 99645
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 |
|---|---|---|---|
| 101612 | AK | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arctic Chiropractic Nome, LLC | 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.
-
- Chiropractor
- Nome, AK
- NPI 1912364704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504828800000",
"number": "1144748245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 S COLONY WAY",
"address_2": "STE 3, PMB 226",
"city": "PALMER",
"state": "AK",
"postal_code": "99645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 W FRONT ST STE 102",
"city": "NOME",
"state": "AK",
"postal_code": "997629800",
"telephone_number": "907-443-7477",
"fax_number": "907-443-7487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "STARLA",
"middle_name": "KAY",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-08",
"last_updated": "2017-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AK",
"license": "101612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nome, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.