Exclusively Incusive LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

EXCLUSIVELY INCUSIVE LLC

Practice address

751 Old Richardson Hwy Ste 101
Fairbanks, AK 99701-7802

Phone

(907) 251-1331

Fax

(855) 414-4818

NPI assigned

Mar 2, 2020

Organization subpart

No

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

Authorized official

Name

Cean Whitmarsh, LMT, MMPNPI 1801344577

Title

Partner

Phone

(907) 251-0055

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Center of Intrinsic Alignment Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cean Whitmarsh, LMT

  • Massage Therapist
  • Fairbanks, AK
  • NPI 1801344577
  NPD Authorized official

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1366076119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 OLD RICHARDSON HWY STE 101",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997017802",
            "telephone_number": "907-251-1331",
            "fax_number": "855-414-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 OLD RICHARDSON HWY STE 101",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997017802",
            "telephone_number": "907-251-1331",
            "fax_number": "855-414-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCLUSIVELY INCUSIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "WHITMARSH",
        "authorized_official_first_name": "CEAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "907-251-0055",
        "authorized_official_credential": "LMT, MMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1972160653",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1053769612",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WebPT",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant web based EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "751 Old Richardson Hwy Ste 101",
            "city": "Fairbanks",
            "state": "AK",
            "country_code": "US",
            "postal_code": "997017802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Center of Intrinsic Alignment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Elizabeth Evans, APRN, NP
• Spencer Evans, LMP
• Haley Evens, NP
• Evergreen Health, LLC
• Neal Everson, D.O.
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• Eyemart Express LLC

• Massage Therapist in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Massage Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.