Individual provider Active NPI

Anna Grace Jenkins

  • Massage Therapist
  • Fairbanks, AK
National Provider Identifier
1508659798
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
236273 Issued in AK
Practice address
1118 2ND Ave
Fairbanks, AK 99701-4228
Phone
(907) 456-6213
NPI assigned
May 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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 236273 AK Primary

Addresses

Primary practice location

1118 2ND Ave
Fairbanks, AK 99701-4228

Mailing address

2428 Edsson Ave # Cabin2
North Pole, AK 99705-6485
Phone (706) 818-1539

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
236273AKMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fairbanks Chiropractic Clinic, Incorporated CurrentSince Jun 3, 2025 Accepting new patients

Locations

1118 2nd Ave
Fairbanks, AK 99701
Phone (907) 456-6213

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": "1748390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1508659798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 EDSSON AVE # CABIN2",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997056485",
            "telephone_number": "706-818-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 2ND AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014228",
            "telephone_number": "907-456-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "ANNA",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "236273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.