Individual provider Active NPI

Amber Gamble

  • Massage Therapist
  • Eagle River, AK
National Provider Identifier
1689209702
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
151521 Issued in AK
Practice address
13135 Old Glenn Hwy Ste 100
Eagle River, AK 99577-7584
Phone
(907) 696-9090
NPI assigned
Mar 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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 151521 AK Primary

Addresses

Primary practice location

13135 Old Glenn Hwy Ste 100
Eagle River, AK 99577-7584

Mailing address

5311 E 26TH Ave Apt 7
Anchorage, AK 99508-3844
Phone (907) 782-7495

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
151521AKMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Migraine Specialists, LLC CurrentSince Dec 26, 2021 Accepting new patients
Hindman Family Chiropractic LLC PastSince Mar 16, 2020 Accepting new patients

Locations

13135 Old Glenn Hwy
Ste 100
Eagle River, AK 99577
Phone (907) 331-9835

Organizations & group practices 2

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": "1583712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1689209702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 E 26TH AVE APT 7",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083844",
            "telephone_number": "907-782-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13135 OLD GLENN HWY STE 100",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777584",
            "telephone_number": "907-696-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBLE",
        "first_name": "AMBER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "151521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle River, AK

Sources for this page

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

Verify at the official NPI Registry.