Individual provider Active NPI

Amy Angaiak

  • Massage Therapist
  • Fairbanks, AK
National Provider Identifier
1265947162
Registry record updated Dec 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
101625 Issued in AK
Practice address
1773 College Rd
Fairbanks, AK 99709-4176
Phone
(907) 457-5100
Fax
(907) 457-5102
NPI assigned
Dec 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 101625 AK Primary

Addresses

Primary practice location

1773 College Rd
Fairbanks, AK 99709-4176

Mailing address

895 Old Steese Hwy N
Fairbanks, AK 99712-2203

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
101625AKMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Billy DC McAfee D.C., P.C. PastSince Dec 16, 2020 Accepting new patients
NCC Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513123200000",
    "number": "1265947162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 OLD STEESE HWY N",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997122203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1773 COLLEGE RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997094176",
            "telephone_number": "907-457-5100",
            "fax_number": "907-457-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGAIAK",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-13",
        "last_updated": "2017-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "101625",
            "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 Dec 13, 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.

Verify at the official NPI Registry.