Individual provider Active NPI

Grace Faye Gordon, LMT

  • Massage Therapist
  • Juneau, AK
National Provider Identifier
1346890142
Registry record updated Sep 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
102032 Issued in AK
Practice address
9309 Glacier Hwy Ste B106
Juneau, AK 99801-9300
Phone
(907) 789-1344
NPI assigned
Sep 13, 2019
Last updated
Sep 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2019

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 102032 AK Primary

Addresses

Primary practice location

9309 Glacier Hwy Ste B106
Juneau, AK 99801-9300

Mailing address

9309 Glacier Hwy Ste B106
Juneau, AK 99801-9300
Phone (907) 789-1344

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
102032AKMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Chiropractic Center P.C. CurrentSince Sep 15, 2019 Accepting new patients
Enhance Orthopedic Surgery, LLC PastSince Sep 15, 2019 Accepting new patients

Locations

9309 Glacier Hwy
Ste B106
Juneau, AK 99801
Phone (907) 444-5501

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15353/brand/1/csg/1/fhir/r4

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, 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": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1346890142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9309 GLACIER HWY STE B106",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998019300",
            "telephone_number": "907-789-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9309 GLACIER HWY STE B106",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998019300",
            "telephone_number": "907-789-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "GRACE",
        "middle_name": "FAYE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-13",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "102032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juneau, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; 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.