Individual provider Active NPI

Andrea Lynn Huyck, LMT

  • Massage Therapist
  • Homer, AK
National Provider Identifier
1386356665
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
101418 Issued in AK
Practice address
141 W Pioneer Ave
Homer, AK 99603-7525
Phone
(907) 235-7146
Fax
(907) 235-7186
NPI assigned
Dec 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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 101418 AK Primary

Addresses

Primary practice location

141 W Pioneer Ave
Homer, AK 99603-7525

Mailing address

141 W Pioneer Ave
Homer, AK 99603-7525
Phone (907) 235-7146

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
101418AKMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinic of Chiropractic Health, LLC CurrentSince Dec 28, 2022 Accepting new patients

Locations

141 W Pioneer Ave
Homer, AK 99603
Phone (907) 235-7146

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.

NPI Registry JSON

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1386356665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 W PIONEER AVE",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037525",
            "telephone_number": "907-235-7146",
            "fax_number": "907-235-7186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 W PIONEER AVE",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037525",
            "telephone_number": "907-235-7146",
            "fax_number": "907-235-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYCK",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "101418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.