Active NPI
Myaliesa Bingham, LMT
- Massage Therapist
- Cordova, AK
National Provider Identifier
1497376750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 156834
- Practice address
- 622 1St St #201
Cordova, AK 99574 - Phone
- (907) 229-8928
- NPI assigned
- Apr 28, 2020
- Last updated
- Apr 28, 2020
- 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 | 156834 | AK | Primary |
Addresses
Primary practice location
622 1St St #201
Cordova, AK 99574
Mailing address
PO Box 1174
Cordova, AK 99574-1174
Phone (907) 229-8928
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | northstarslignment.com |
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 |
|---|---|---|---|
| 156834 | AK | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Alignment LLC | Massage Therapist | Current | 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, 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": "1588032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588032000000",
"number": "1497376750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1174",
"city": "CORDOVA",
"state": "AK",
"postal_code": "995741174",
"telephone_number": "907-229-8928",
"fax_number": "907-424-3535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 1ST ST #201",
"city": "CORDOVA",
"state": "AK",
"postal_code": "99574",
"telephone_number": "907-229-8928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BINGHAM",
"first_name": "MYALIESA",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-28",
"last_updated": "2020-04-28",
"certification_date": "2020-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AK",
"license": "156834",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "northstarslignment.com",
"affiliation": "N",
"endpointDescription": "website",
"address_1": "622 1st st #201",
"city": "Cordova",
"state": "AK",
"country_code": "US",
"postal_code": "99574",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Cordova, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.