Active NPI
Jerry Lewis Blueford Jr., L.M.T.
- Massage Therapist
- Anchorage, AK
National Provider Identifier
1609312313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 1031388
- Practice address
- 751 E 36TH Ave Ste 115
Anchorage, AK 99503-4166 - Phone
- (907) 306-0333
- NPI assigned
- Jan 19, 2017
- Last updated
- Jan 19, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | 1031388 | AK | Primary |
Addresses
Primary practice location
751 E 36TH Ave Ste 115
Anchorage, AK 99503-4166
Mailing address
751 E 36TH Ave Ste 115
Anchorage, AK 99503-4166
Phone (907) 306-0333
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 |
|---|---|---|---|
| 1031388 | AK | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True Blue LLC | Massage Therapist | Past | 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": "1484784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484784000000",
"number": "1609312313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "751 E 36TH AVE STE 115",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995034166",
"telephone_number": "907-306-0333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 E 36TH AVE STE 115",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995034166",
"telephone_number": "907-306-0333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUEFORD",
"first_name": "JERRY",
"middle_name": "LEWIS",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-01-19",
"last_updated": "2017-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AK",
"license": "1031388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.