Emily Margaret Lyngholm

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

3039 Davis Rd
Fairbanks, AK 99709-5234

Phone

(907) 699-6557

NPI assigned

Dec 23, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Emily Margaret Jurgens Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1293062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330128000000",
    "number": "1336443944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35081",
            "city": "FT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997030081",
            "telephone_number": "907-699-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3039 DAVIS RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997095234",
            "telephone_number": "907-699-6557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNGHOLM",
        "first_name": "EMILY",
        "middle_name": "MARGARET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-23",
        "last_updated": "2012-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF COMMERCE, COMMUNITY, AND ECONOMIC DEVELOPMENT BUSINESS LICENSE",
            "identifier": "951770",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "JURGENS",
            "middle_name": "MARGARET",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Scott D Luper, ND
• Shannon Richard Luster, B.A.
• Kevin Ly
• Carly Lyle
• Siobhan Lynch, L.C.S.W.
• Lynn E and Delamour R. Kriley
• Teresa Ann Brown Lyons, NP
• M Paige Dda & JM Bressler DDS at Fairbanks LLC
• Mary Cordner Macfarlane, M.D.
• Natalie Esilda Macke, OD

• All providers in Fairbanks, AK
• Massage Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2012; 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.