Active NPI
Carolyn Judd, LMT
- Massage Therapist
- Kodiak, AK
National Provider Identifier
1346762929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 122633
- Practice address
- 2975 Mill Bay Rd Ste a
Kodiak, AK 99615-7831 - Phone
- (907) 512-0809
- Fax
- (907) 512-0828
- NPI assigned
- Jul 14, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 122633 | AK | Primary |
Addresses
Primary practice location
2975 Mill Bay Rd Ste a
Kodiak, AK 99615-7831
Mailing address
1150 S Colony Way
Ste 3, PMB 226
Palmer, AK 99645
Phone (907) 512-0809
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
| License | State | Type | Specialty |
|---|---|---|---|
| 122633 | AK | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arctic Chiropractic and Physical Medicine Kodiak | Past | 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 and National Provider Directory roles.
-
dba Arctic Chiropractic & Massage Kodiak
- Multi-Specialty Clinic/Center
- Kodiak, AK
- NPI 1558899807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499990400000",
"number": "1346762929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 S COLONY WAY",
"address_2": "STE 3, PMB 226",
"city": "PALMER",
"state": "AK",
"postal_code": "99645",
"telephone_number": "907-512-0809",
"fax_number": "907-512-0828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2975 MILL BAY RD STE A",
"city": "KODIAK",
"state": "AK",
"postal_code": "996157831",
"telephone_number": "907-512-0809",
"fax_number": "907-512-0828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUDD",
"first_name": "CAROLYN",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-14",
"last_updated": "2017-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AK",
"license": "122633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kodiak, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.