Individual provider Active NPI

Naoko Proctor-Fajen, LMT

  • Massage Therapist
  • Anchorage, AK
National Provider Identifier
1316531767
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
107270 Issued in AK
Practice address
3823 Spenard Rd
Anchorage, AK 99517-2678
Phone
(907) 677-1600
NPI assigned
Feb 25, 2021
Last updated
Feb 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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 107270 AK Primary

Addresses

Primary practice location

3823 Spenard Rd
Anchorage, AK 99517-2678

Mailing address

3823 Spenard Rd
Anchorage, AK 99517-2678
Phone (907) 677-1600

Other identifiers 1

IdentifierTypeStateIssuer
6894659OtherAKSTATE ID

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address maureen@akbarringtonchiro.com Direct

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
107270AKMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Barrington Chiropractic, LLC PastSince Mar 4, 2021 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.

NPI Registry JSON

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1316531767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3823 SPENARD RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995172678",
            "telephone_number": "907-677-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3823 SPENARD RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995172678",
            "telephone_number": "907-677-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCTOR-FAJEN",
        "first_name": "NAOKO",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "107270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "6894659",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maureen@akbarringtonchiro.com",
            "affiliation": "N",
            "endpointDescription": "Office Manager secured email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secured email",
            "address_1": "3823 Spenard Rd",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995172678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.