Miladis McDuffie

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

128364 Issued in AK

Practice address

1350 W. Northern Lights Blvd
Ste C
Anchorage, AK 99503

Phone

(907) 334-8020

NPI assigned

Oct 15, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Khrista Fortune

  • Massage Therapist
  • Anchorage, AK
  • NPI 1336737410
  NPD
• Payne Clinics LLC

  • Chiropractor
  • Wasilla, AK
  • NPI 1568903656
  NPD (past)

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1164020772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 N MAIN ST",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547018",
            "telephone_number": "907-376-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 W. NORTHERN LIGHTS BLVD",
            "address_2": "STE C",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99503",
            "telephone_number": "907-334-8020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12812 Old Glenn Hwy Ste C3",
            "address_purpose": "LOCATION",
            "city": "Eagle River",
            "state": "AK",
            "postal_code": "995777002",
            "country_code": "US",
            "telephone_number": "907-376-8020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDUFFIE",
        "first_name": "MILADIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "128364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney McDonough
• Robin McDougal
• Stephanie Dawn McDougal
• Tiara Danin McDougal, MSW
• Grace McDowell, SLP
• Timothy Ray McElhaney
• April McElhenny, MSW, LCSW
• Colleen McElhenny, PT
• Elaine Rose McElhinny, M.D.
• Shawna J McElroy, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.