Anna(Pili) Goddard-Vaughan, LMT, CAMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

3600 Lake Otis Pkwy Ste 205
Anchorage, AK 99508-5225

Phone

(907) 441-6075

Fax

(844) 440-5507

NPI assigned

Jun 30, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1609227669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4633 PAVALOF ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071016",
            "telephone_number": "907-441-6075",
            "fax_number": "907-563-8453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 LAKE OTIS PKWY STE 205",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085225",
            "telephone_number": "907-441-6075",
            "fax_number": "844-440-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODDARD-VAUGHAN",
        "first_name": "ANNA(PILI)",
        "credential": "LMT, CAMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "AK",
            "license": "101389",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeneen Glroia Kevcey
• Kevin Glynn
• Christopher Gobah
• Alice Gobeli, LMT
• Darion Gobert
• John C Godersky, MD
• Andre' S Godet, M.D.
• Shana Godfred-Cato, D.O.
• Tracey Shandell Godfrey
• William Colton Godfrey, DHAT

• Massage Therapist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Massage Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.