Brenda Nighswonger, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

220024 Issued in AK

Practice address

108 E Arctic Ave
Palmer, AK 99645-6254

Phone

(907) 745-4357

NPI assigned

Mar 12, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bionic Chiropractic

  • Chiropractor
  • Palmer, AK
  • NPI 1750886016
  NPD (past)

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1528826658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E ARCTIC AVE",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456254",
            "telephone_number": "907-745-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E ARCTIC AVE",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456254",
            "telephone_number": "907-745-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIGHSWONGER",
        "first_name": "BRENDA",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "220024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyla Elizabeth Newland, PHARMD.
• Elisabeth Nichols
• Danya Nicketa
• Kyla Jean Nicoll
• Sommer Dawn Nielsen
• Melinda Sue Noble
• Alexandra Nordquist
• Northcraft Counseling and Coaching, LLC
• Northern Bloom Health and Wellness, LLC
• Northern Lights Anesthesia LLC

• Massage Therapist in Palmer, AK
• Providers in Palmer, 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 12, 2024; 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.