Active NPI
Mistie L Austin, LMT
- Massage Therapist
- Anchorage, AK
National Provider Identifier
1366892473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 102108
- Practice address
- 11260 Old Seward Hwy
Suite 106
Anchorage, AK 99515 - Phone
- (907) 646-2212
- Fax
- (907) 646-2212
- NPI assigned
- Jun 20, 2016
- Last updated
- Sep 15, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 102108 | AK | Primary |
Addresses
Primary practice location
11260 Old Seward Hwy
Suite 106
Anchorage, AK 99515
Mailing address
11260 Old Seward Hwy
Suite 106
Anchorage, AK 99515
Phone (907) 744-0869
Other names 1
- Mistie L Fleming
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 |
|---|---|---|---|
| 102108 | AK | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morgan Chiropractic,Inc | Past | Accepting new patients | |
| Peninsula Health Center Inc. | Past | Accepting new patients | |
| Pairmore & Young: Synergy Chiropractic LLC | Past | Accepting new patients | |
| Peninsula Health Center, Inc | Past | Accepting new patients |
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631664000000",
"number": "1366892473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11260 OLD SEWARD HWY",
"address_2": "SUITE 106",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99515",
"telephone_number": "907-744-0869",
"fax_number": "907-646-2212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11260 OLD SEWARD HWY",
"address_2": "SUITE 106",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99515",
"telephone_number": "907-646-2212",
"fax_number": "907-646-2212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTIN",
"first_name": "MISTIE",
"middle_name": "L",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-20",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AK",
"license": "102108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MISTIE",
"last_name": "FLEMING",
"middle_name": "L",
"credential": "LMT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.