Individual provider Active NPI

Lauren Nicole Bochenek, LMT

  • Massage Therapist
  • Anchorage, AK
National Provider Identifier
1689296394
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
127919 Issued in AK
Practice address
1310 E Dimond Blvd Ste 2
Anchorage, AK 99515-2031
Phone
(907) 677-6345
NPI assigned
May 15, 2020
Sex
Female
Sole proprietor
Yes

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.

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
127919AKMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tieszen Chiropractic LLC CurrentSince May 17, 2020 Accepting new patients

Locations

1310 E Dimond Blvd
Ste 2
Anchorage, AK 99515
Phone (907) 632-2704

NPPES NPI Registry

Updated by the provider on May 15, 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 127919 AK Primary

Addresses

Primary practice location

1310 E Dimond Blvd Ste 2
Anchorage, AK 99515-2031

Mailing address

1310 E Dimond Blvd Ste 2
Anchorage, AK 99515-2031
Phone (907) 677-6345

NPI Registry JSON

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1689296394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 E DIMOND BLVD STE 2",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152031",
            "telephone_number": "907-677-6345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 E DIMOND BLVD STE 2",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152031",
            "telephone_number": "907-677-6345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCHENEK",
        "first_name": "LAUREN",
        "middle_name": "NICOLE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "127919",
            "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 May 15, 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.