Laken Jean Amberg, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

116666 Issued in AK

Practice address

7801 Schoon St Ste B
Anchorage, AK 99518-3039

Phone

(907) 344-0376

Fax

(907) 344-0708

NPI assigned

Oct 3, 2017

Last updated

Jun 16, 2018By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Massage Matters L.L.C.

  • Massage Therapist
  • Anchorage, AK
  • NPI 1841701166
  NPD (past) Authorized official

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1346750437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6843 E 12TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995041831",
            "telephone_number": "907-631-9423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 SCHOON ST STE B",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995183039",
            "telephone_number": "907-344-0376",
            "fax_number": "907-344-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBERG",
        "first_name": "LAKEN",
        "middle_name": "JEAN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "116666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "116666",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amazing Grace Assisted Living Home, LLC
• Amb Physical Therapy
• Ambasht Family Medicine, LLC
• Ankita Mahesh Ambasht, MD
• Jennifer Amberg
• Connie Ambler, LPC
• Clifford Ambro, LMT
• Evan Michael Ambrose, PHARMD
• Jennifer Rae Ambrose, CRNA
• Linda Ambrosia, M.A, LMFT

• 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 Jun 16, 2018; 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.