Individual provider Active NPI

Renee Jacqueline Howard, LMT

  • Massage Therapist
  • Palmer, AK
National Provider Identifier
1770130023
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
101369 Issued in AK
Practice address
1734 Prospect Dr
Palmer, AK 99645-9964
Phone
(907) 746-7842
Fax
(907) 745-7883
NPI assigned
Aug 21, 2019
Last updated
Aug 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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 101369 AK Primary

Addresses

Primary practice location

1734 Prospect Dr
Palmer, AK 99645-9964

Mailing address

8100 N Lucky Shot LN
Palmer, AK 99645-8073
Phone (907) 982-0264

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
101369AKMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arctic Chiropractic East Mat-Su LLC CurrentSince Aug 25, 2019 Accepting new patients
Arctic Medical Center Matsu CurrentSince Aug 1, 2020 Accepting new patients

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, 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": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1770130023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 N LUCKY SHOT LN",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996458073",
            "telephone_number": "907-982-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1734 PROSPECT DR",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996459964",
            "telephone_number": "907-746-7842",
            "fax_number": "907-745-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "RENEE",
        "middle_name": "JACQUELINE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "101369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.